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血清胆红素、糖化血红蛋白联合血脂检验在2型糖尿病合并 冠心病诊断中的应用价值
引用本文:王艳荣.血清胆红素、糖化血红蛋白联合血脂检验在2型糖尿病合并 冠心病诊断中的应用价值[J].医学信息,2019,0(16):165-166,174.
作者姓名:王艳荣
作者单位:佳木斯市中医院检验科,黑龙江 佳木斯 154002
摘    要:目的 分析血清胆红素、糖化血红蛋白联合血脂检验在2型糖尿病合并冠心病诊断中的应用价值。方法 将2017年1月~12月因2型糖尿病合并冠心病于我院进行治疗的340例患者作为研究对象,并纳入观察组;另选同期于我院治疗的300例单纯2型糖尿病患者纳入对照组。对两组患者血清胆红素(TBIL)、糖化血红蛋白(HbA1c)、血脂水平(TC、TG、HDL-C、LDL-C)进行检测对比。结果 观察组TBIL水平为(8.25±1.73)μmol/L,低于对照组的(10.42±1.69)μmol/L,HbA1c水平为(7.87±0.36)%,高于对照组的(6.28±0.37)%,差异均有统计学意义(P<0.05)。观察组TC、TG、LDL-C分别为(4.98±1.40)mmol/L、(5.92±1.02)mmol/L、(3.11±0.40)mmol/L,高于对照组的(2.35±0.92)mmol/L、(5.01±0.73)mmol/L、(2.62±0.33)mmol/L,观察组HDL-C为(1.02±0.23)mmol/L,低于对照组的(1.40±0.25)mmol/L,差异均有统计学意义(P<0.05)。结论 血清胆红素、糖化血红蛋白联合血脂检验对2型糖尿病合并冠心病诊断有重要的指导价值。

关 键 词:血清胆红素  糖化血红蛋白  血脂  2型糖尿病  冠心病

Value of Serum Bilirubin and Glycosylated Hemoglobin Combined with Blood Lipid Test in the Diagnosis of Type 2 Diabetes Mellitus Complicated with Coronary Heart Disease
WANG Yan-rong.Value of Serum Bilirubin and Glycosylated Hemoglobin Combined with Blood Lipid Test in the Diagnosis of Type 2 Diabetes Mellitus Complicated with Coronary Heart Disease[J].Medical Information,2019,0(16):165-166,174.
Authors:WANG Yan-rong
Affiliation:Department of Clinical Laboratory, Jiamusi Chinese Medicine Hospital,Jiamusi 154002, Heilongjiang,China
Abstract:Abstract:Objective To analyze the value of serum bilirubin and glycosylated hemoglobin combined with blood lipid test in the diagnosis of type 2 diabetes mellitus complicated with coronary heart disease.Methods 340 patients with type 2 diabetes mellitus complicated with coronary heart disease who were treated in our hospital from January to December 2017 were included in the observation group. Another 300 patients with type 2 diabetes who were treated in our hospital at the same time were included in the control group. Serum bilirubin (TBIL), glycosylated hemoglobin (HbA1c), and blood lipid levels (TC, TG, HDL-C, LDL-C) were compared between the two groups.Results The TBIL level in the observation group was (8.25±1.73) μmol/L, which was lower than that of the control group (10.42±1.69) μmol/L, and the HbA1c level was (7.87±0.36)%, which was higher than that of the control group (6.28±0.37)%,the differences were statistically significant (P<0.05). The observation group TC, TG, LDL-C were (4.98±1.40) mmol/L,(5.92±1.02) mmol/L,(3.11±0.40) mmol/L,which was higher than that of the control group (2.35±0.92) mmol/ L, (5.01±0.73) mmol/L,(2.62±0.33) mmol/L, the HDL-C of the observation group was (1.02±0.23) mmol/L, which was lower than that of the control group (1.40±0.25) mmol/L,the differences were statistically significant (P<0.05).Conclusion Serum bilirubin and glycosylated hemoglobin combined with lipid test have important guiding value for the diagnosis of type 2 diabetes mellitus with coronary heart disease.
Keywords:Key words:Serum bilirubin  Glycated hemoglobin  Blood lipids  Type 2 diabetes mellitus  Coronary heart disease
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