冠心病患者血清脂蛋白(α)、同型半胱氨酸、尿酸水平与冠状动脉狭窄程度的关系

Zhong-qin Yan
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摘要

目的探讨冠心病(CHD)患者血清脂蛋白(α)、血浆同型半胱氨酸(Hcy)、血清尿酸(SUA)水平与冠状动脉狭窄程度的相关性。方法选择2018年7月至2019年11月周口市中医院收治的冠心病患者90例为研究组;选取同期体检的健康人群90人作为对照组。检测两组大鼠血清LP (α)、Hcy、SUA水平。记录对照组和研究组上述指标的结果。分析不同冠状动脉狭窄程度患者LP(α)、Hcy、SUA检测值的差异。结果研究组患者LP (α)、Hcy、SUA水平均高于对照组,差异有统计学意义(P<0.05)。研究组90例冠心病患者中,重度狭窄组LP (α)、Hcy、SUA水平最高,轻度狭窄组LP (α)、Hcy、SUA水平最低,差异有统计学意义(P<0.05)。结论LP (α)、Hcy、SUA的检测值有助于冠心病的诊断和冠状动脉狭窄程度的评估。关键词:冠心病;冠状动脉狭窄程度;血清脂蛋白(α);尿酸;相关
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Relationship between the levels of serum lipoprotein (α), homocysteine, uric acid and the degree of coronary stenosis in patients with coronary heart disease
Objective To investigate the correlations of the levels of serum lipoprotein (α) , that is LP (α), plasma homocysteine (Hcy), serum uric acid (SUA) levels with the degree of coronary artery stenosis of coronary heart disease (CHD) patients. Methods A total of 90 patients with CHD admitted to Zhoukou Hospital of Traditional Chinese Medicine from July 2018 to November 2019 were selected as the study group; and 90 healthy people who had physical examination at the same period were selected as the control group. The levels of LP (α), Hcy and SUA of both groups were detected. The results of the above-mentioned indicators were recorded in the control group and study group. The differences of the detection values of LP(α), Hcy and SUA in patients with different degrees of coronary artery stenosis were analyzed. Results The levels of LP (α), Hcy and SUA in the study group were higher than those in the control group, and the difference was statistically significant (P<0.05). Among the 90 patients with CHD in the study group, the LP (α), Hcy and SUA in the severe stenosis group were the highest levels, while the LP (α), Hcy and SUA in mild stenosis group were the lowest levels, and the difference was statistically significant (P<0.05). Conclusions The detection values of LP (α), Hcy and SUA are helpful to diagnose CHD and assess severity of stenosis in coronary artery. Key words: Coronary disease; Degree of coronary artery stenosis; Serum lipoprotein (α); Uric acid; Correlation
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