CAJ | 학술논문

　　目的探讨冠心病患者体内血清胆红素和尿酸的水平变化。方法选取我院2010年1月~2012年12月收治的冠心病患者50例，将这50例患者选为观察组，另选体检健康者（冠脉造影正常者）50例为对照组，通过抽血化验，对两组之间的血清胆红素和尿酸水平结果进行比较。结果观察组的血清总胆红素和直接胆红素明显低于对照组，尿酸明显高于对照组，且两组差异均有统计学意义（P＜0.05）；观察组的间接胆红素低于对照组，但差异无统计学意义（P＞0.05）。结论检验血清胆红素降低的水平和尿酸增高的水平，对冠心病的诊断和治疗，以及提高预后具有重要意义。
　　목적탐토관심병환자체내혈청담홍소화뇨산적수평변화。방법선취아원2010년1월~2012년12월수치적관심병환자50례，장저50례환자선위관찰조，령선체검건강자（관맥조영정상자）50례위대조조，통과추혈화험，대량조지간적혈청담홍소화뇨산수평결과진행비교。결과관찰조적혈청총담홍소화직접담홍소명현저우대조조，뇨산명현고우대조조，차량조차이균유통계학의의（P＜0.05）；관찰조적간접담홍소저우대조조，단차이무통계학의의（P＞0.05）。결론검험혈청담홍소강저적수평화뇨산증고적수평，대관심병적진단화치료，이급제고예후구유중요의의。
Objective To discuss the change of serum bilirubin and uric acid in patients with coronary artery heart disease. Methods 50 patients with coronary artery heart disease diagnosed and treated in this hospital from January 2010 to December 2012 were selected as the observation group,while 50 healthy cases (subjects with normal coronary arteriongraphy) were selected as the control group. Compare the levels of serum bilirubin and uric acid between two groups by the blood test. Results The serum total bilirubin and direct bilirubin in the observation group were significantly lower than ones in the control group,while the uric acid was significantly higher than the one in the control group,with statistical difference (P < 0.05);the indirect bilirubin in the observation group was lower than the one in the control group,without the statistical difference(P>0.05). Conclusion The detection of decreased level of serum bilirubin and increased level of uric acid will be of critical significance for the diagnosis,treatment and enhanced prognosis of coronary artery heart disease.