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目的探讨冠状动脉粥样硬化性心脏病(CHD)合并糖尿病患者的血脂检验结果。方法选取2015年1月至2016年1月沈阳医学院附属第二医院收治的60例CHD合并糖尿病患者作为观察组,同时选取同期在沈阳医学院附属第二医院就诊的60例单纯CHD患者作为对照组,两组患者均进行血脂检验,并对其检验结果进行比较分析。结果观察组患者低密度脂蛋白胆固醇(LDL-C)、三酰甘油(TG)、总胆固醇(TC)水平均明显高于对照组,高密度脂蛋白胆固醇(HDL-C)水平显著低于对照组,差异均有统计学意义(均P<0.05);观察组患者载脂蛋白-A(Apo-A)、载脂蛋白-B(Apo-B)水平均明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者血脂异常发生率明显高于对照组,差异有统计学意义(P<0.05)。结论针对CHD合并糖尿病患者进行血脂检验有利于协助医师及时诊断患者继发性并发症,临床价值显著。
Objective To investigate the results of blood lipid test in patients with coronary atherosclerotic heart disease (CHD) complicated with diabetes mellitus. Methods Sixty CHD patients with CHD admitted to the Second Affiliated Hospital of Shenyang Medical College from January 2015 to January 2016 were selected as the observation group. Sixty CHD patients with CHD who were treated at the Second Affiliated Hospital of Shenyang Medical College during the same period were selected as the control group Group, two groups of patients were blood lipid test, and test results were compared. Results The levels of LDL-C, TG and TC in the observation group were significantly higher than those in the control group, and the levels of HDL-C in the observation group were significantly lower than those in the control group (P <0.05). The levels of Apo-A and Apo-B in the observation group were significantly lower than those in the control group, the difference was statistically significant (All P <0.05). The incidence of dyslipidemia in the observation group was significantly higher than that in the control group (P <0.05). Conclusion Blood lipid test for patients with CHD complicated with diabetes mellitus is helpful to help doctors timely diagnose secondary complications in patients with significant clinical value.