超敏C反应蛋白及血清总胆红素检测对冠心病患者的临床意义

李小州

（凤翔县中医医院，陕西 宝鸡，721400）

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摘要：

目的 探究超敏C反应蛋白及总胆红素对冠心病患者的临床检测意义。方法 抽取2010年1月至2014年12月来我院治疗的261例冠心病患者及50例（对照组）同期来我院行健康体检者作为研究对象，261例冠心病患者中，102例为稳定型心绞痛，85例为不稳定型心绞痛，74例为急性心肌梗死，对研究对象均实施超敏C反应蛋白及总胆红素检测，对比分析冠心病患者和健康体检者超敏C反应蛋白及总胆红素的检测结果。结果 冠心病患者的超敏C反应蛋白水平显著高于对照组，但总胆红素水平显著低于对照组（P<0.05）；稳定型心绞痛患者的超敏C反应蛋白水平显著低于不稳定型心绞痛患者及急性心肌梗死患者，但总胆红素水平显著高于其余两组冠心病患者（P<0.05）；且不稳定型心绞痛患者的超敏C反应蛋白水平显著低于急性心肌梗死患者，但总胆红素水平显著高于急性心肌梗死患者（P<0.05）。结论 对冠心病患者采取超敏C反应蛋白及总胆红素检测，具有较显著的临床意义，可为临床医师分析、诊断和评估冠心病提供重要依据。

关键词：超敏C 反应蛋白；总胆红素；冠心病

中图分类号：R541.4 文献标志码：A文章编号：2096-1413(2017)14-0109-02

Clinical significance of high sensitive C reactive protein and total bilirubin in patients with coronary heart disease
LI Xiao-zhou
（Traditional Chinese Medicine Hospital of Fengxiang County, Baoji 721400, China）

ABSTRACT: Objective To explore the clinical significance of high sensitive C reactive protein and total bilirubin in patients with coronary heart disease. Methods From January 2010 to December 2014, 261 cases of patients with coronary heart disease (CHD) and the 50 cases (control group) for health examination at the same period in our hospital were selected as the research objects. Of 261 CHD patients, 102 cases were stable angina pectoris, 85 cases were unstable angina pectoris, 74 cases were acute myocardial infarction. The high-sensitivity C reactive protein and total bilirubin of all the subjects were tested, and the results of the detection of high-sensitivity C reactive protein and total bilirubin in patients with and healthy subjects were compared. Results The high sensitivity C reactive protein level in patients with CHD was significantly higher than that in the control group, but the total bilirubin level was significantly lower than that in the control group (P<0.05). The high sensitivity C reactive protein level in patients with stable angina was significantly lower than that in the patients with unstable angina and acute myocardial infarction, but the total bilirubin level was significantly higher than that in the other two groups of patients with coronary heart disease (P<0.05). The high sensitivity C reactive protein level in patients with unstable angina was significantly lower than that in the patients with acute myocardial infarction, but total bilirubin level was significantly higher than that in the patients with acute myocardial infarction (P<0.05). Conclusion The detection of high-sensitivity C reactive protein and total bilirubin in patients with CHD has a significant clinical significance, which can provide an important basis for clinical analysis, diagnosis and evaluation of CHD.
KEYWORDS: high sensitive C reactive protein; total bilirubin; CHD

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