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急性冠脉综合征患者胆固醇、总胆汁酸及总胆红素检测的临床意义
引用本文:潘秀贤,罗林玲,李兵.急性冠脉综合征患者胆固醇、总胆汁酸及总胆红素检测的临床意义[J].内科,2010,5(3):233-235.
作者姓名:潘秀贤  罗林玲  李兵
作者单位:广西骨伤医院检验科,南宁市,530012
基金项目:广西壮族自治区卫生厅医药科研计划项目 
摘    要:目的探讨急性冠脉综合征(ACS)患者血清总胆固醇(TC)、总胆汁酸(TBA)及总胆红素(TBIL)的变化及临床意义。方法选取住院治疗的100例ACS患者为观察组,其中稳定型心绞痛(SA)39例,不稳定型心绞痛(UA)38例,急性心肌梗死(AMI)23例。同期健康体检者100例为对照组,检测两组血清总胆固醇(TC)、总胆汁酸(TBA)及总胆红素(TBIL)的水平,并做相关统计学分析。结果观察组的TC及TBA水平高于对照组,差异有统计学意义(P〈0.05);且观察组的TC及TBA水平由SA、UA到AMI依次升高,差异有统计学意义(P〈0.05);观察组的TBIL水平低于对照组,差异有统计学意义(P〈0.05);观察组的TBIL水平由SA、UA到AMI依次减低,差异有统计学意义(P〈0.05)。结论 TC、TBA及TBIL联合检测对ACS的诊断及病情发展评价有重要的临床意义。

关 键 词:急性冠脉综合征  总胆固醇  总胆汁酸  总胆红素

Clinical significance of detection of cholesterol, total bile acid and total bilirubin in patients with acute coronary syndrome
PAN Xiu-xian,LUO Lin-ling,LI Bing.Clinical significance of detection of cholesterol, total bile acid and total bilirubin in patients with acute coronary syndrome[J].Internal Medicine of China,2010,5(3):233-235.
Authors:PAN Xiu-xian  LUO Lin-ling  LI Bing
Institution:PAN Xiu-xian,LUO Lin-ling,LI Bing(Clinical Laboratory,Guangxi Orthopaedic Traumatology Hospital,Nanning 530012,China)
Abstract:Objective To study the changes and clinical significance of serum total cholesterol(TC),total bile acid(TBA) and total bilirubin(TBIL) in patients with acute coronary syndrome(ACS).Methods A total of 100 ACS patients were enrolled as obseroation group,in which 39 patients with stable angina(SA) and 38 patients with unstable angina(UA) as well as 23 patients with acute myocardial infarction(AMI) were studied.100 healthy individuals were selected as control group.Then,their TC,TBA and TBIL level were detected...
Keywords:Acute coronary syndrome  Total cholesterol  Total bile acid  Total bilirubin  
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