摘要
目的 分析与总结冠状动脉粥样硬化心脏病(以下简称“冠心病”)患者接受血脂六项检验的临床价值。方法 选取2020年1月—2021年1月天津市津南区小站医院收治的40例冠心病患者为观察组,另择取同期门诊40例健康体检者为对照组,两组患者均行血脂六项检查,包括总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、载脂蛋白(Apo)中ApoAI与ApoB的具体水平及阳性检出率,通过比较检测结果判断血脂六项检验的临床价值。结果 观察组患者TC、TG、LDL-C及ApoB水平均高于对照组,HDL-C、ApoAI水平低于对照组,差异均有统计学意义(P<0.05);观察组TC、TG、LDL-C、HDL-C、ApoAI、ApoB阳性检出率均高于对照组,差异均有统计学意义(P<0.05)。结论 冠心病患者血脂异常率明显增高,通过对TC、TG等指标的检测能够为临床治疗、预后效果评估提供更客观依据,可作为诊断疾病的特异性指标,值得临床推广应用。
Objective To analyze and summarize the clinical value of six items of blood lipid test in patients with coronary atherosclerotic heart disease(hereinafter referred to as "coronary heart disease"). Methods A total of 40 patients with coronary heart disease treated in Tianjin Jinnan District Xiaozhan Hospital from January 2020 to January 2021 were selected as the observation group,and 40 outpatients with physical examination in the same period were selected as the control group. The six items of blood lipid examination was both given to the two groups,including the specific levels and positive detection rates of ApoAI and ApoB in total cholesterol(TC),triglyceride(TG),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C)and apolipoprotein(Apo),to judge the clinical value of six items of blood lipid test by comparing the test results. Results The levels of TC,TG,LDL-C and ApoB in the observation group were significantly higher than those in the control group,and the levels of HDL-C and ApoAI in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);the positive detection rates of TC,TG,LDL-C,HDL-C,ApoAI and ApoB in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The abnormal rate of blood lipid in patients with coronary heart disease was significantly higher.The detection of TC,TG and other indicators could provide more objective basis for clinical treatment and prognosis evaluation. It could be used as a specific indicator for diagnosis of the disease,and was worthy of clinical promotion and application.
作者
王珊珊
WANG Shan-shan(Department of Laboratory,Tianjin Jinnan District Xiaozhan Hospital,Tianjin 300450,China)
出处
《中国城乡企业卫生》
2023年第1期154-156,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
冠状动脉粥样硬化性心脏病
血脂
阳性检出率
Coronary atherosclerotic heart disease
Blood lipids
Positive detection rate
