论文部分内容阅读
目的 探讨心绞痛和急性心肌梗死患者血清胆红素的差异。方法 收集符合1979年WHO诊断标准的心绞痛(AP)患者71例,急性心肌梗死(AMI)患者61例,其中单纯前壁AMI 11例,下壁AMI 14例。采清晨空腹静脉血测定血清总胆红素(Tbil)、直接胆红素(Dbil)、间接胆红素(Ibil)浓度并进行比较。结果 AMI组各型血清胆红素(Tbil 14.56±6.46μmol/L,Dbil 6.20±2.71μmol/L,Ibil 8.31±4.66μmol/L)均高于AP组(Tbil 11.25±4.79μmol/L,Dbil 4.94±1.82μmol/L,Ibil 6.25±3.99μmol/L),P<0.01。前壁AMI患者血清胆红素水平(Tbil 15.99±8.79μmol/L,Dbil 6.88±4.99μmol/L,Ibil 9.11±5.12μmol/L)较下壁AMI患者血清胆红素水平(Tbil 12.34±2.86μmol/L,Dbil 5.15±0.81μmol/L,Ibil 7.18±2.32μmol/L)高,但无统计学差异(P>0.05)。结论 AMI患者与AP患者血清胆红索水平存在显著性差异,但前壁AMI患者与下壁AMI患者血清胆红素水平的差异无统计学意义。
Objective To investigate the difference of serum bilirubin in patients with angina pectoris and acute myocardial infarction. Methods Seventy-one patients with angina pectoris (AP) and 61 patients with acute myocardial infarction (AMI) who met the diagnostic criteria of WHO in 1979 were collected. Among them, 11 were AMI in the anterior wall and 14 were AMI in the inferior wall. Fasting venous blood samples were taken for determination of serum total bilirubin (Tbil), direct bilirubin (Dilbil) and indirect bilirubin (Ibil) concentrations. Results The serum levels of bilirubin (Tbil 14.56 ± 6.46μmol / L, Dbil 6.20 ± 2.71μmol / L and Ibil 8.31 ± 4.66μmol / L) in AMI group were significantly higher than those in AP group (Tbil 11.25 ± 4.79μmol / L, Dbil 4.94 ± 1.82 μmol / L, Ibil 6.25 ± 3.99 μmol / L), P <0.01. Serum bilirubin levels in the anterior AMI patients (Tbil 15.99 ± 8.79μmol / L, Dbil 6.88 ± 4.99μmol / L, Ibil 9.11 ± 5.12μmol / L) were significantly lower than those in the AMI patients (Tbil 12.34 ± 2.86μmol / L, Dbil 5.15 ± 0.81μmol / L, Ibil 7.18 ± 2.32μmol / L), but no statistical difference (P> 0.05). Conclusions Serum bilirubin levels in AMI patients and AP patients were significantly different, but there was no significant difference in serum bilirubin levels between AMI patients and AMI patients.