Study on the value of serum uric acid test in elderly patients with coronary heart disease
老年冠心病患者血清尿酸检验的价值研究

摘要

目的 进行老年冠心病患者中血清尿酸检验的效果探究。方法 本次选取主要为老年冠心病患者39例（作为观察组）、健康体检老年人员40例（作为对照组），试验起始于2022年11月，终止于2023年11月，对各个人员进行血清尿酸检验。比对观察组及对照组检查结果，另外，按照观察组不同患者冠心病等级分级，对不同分级患者的血清尿酸检验结果进行比较。结果 两组相比，观察组血清尿酸更高、总胆红素更低、直接胆红素更低、间接胆红素更低（P<0.05）。血清尿酸方面，Ⅰ级冠心病患者＜Ⅱ级冠心病患者＜Ⅲ级冠心病患者＜Ⅳ级冠心病患者；总胆红素方面，Ⅰ级冠心病患者＞Ⅱ级冠心病患者＞Ⅲ级冠心病患者＞Ⅳ级冠心病患者；直接胆红素方面，Ⅰ级冠心病患者＞Ⅱ级冠心病患者＞Ⅲ级冠心病患者＞Ⅳ级冠心病患者；间接胆红素方面，Ⅰ级冠心病患者＞Ⅱ级冠心病患者＞Ⅲ级冠心病患者＞Ⅳ级冠心病患者（P<0.05）。结论 经血清尿酸检验后，可发现老年冠心病患者血清尿酸、总胆红素、直接胆红素及间接胆红素等指标存在明显异常，且病情越严重，不同指标之间差异越大，有利于判断疾病，还能为冠心病等级划分提供重要参考。

Abstract

Objective To explore the effect of serum uric acid test on elderly patients with coronary heart disease.
Methods 39 elderly patients with coronary heart disease (as the observation group) and 40 healthy elderly personnel (as the control group) were selected in this study. The experiment began in November 2022 and ended in November 2023. Serum uric acid test was performed on all personnel. The test results of the observation group and the control group were compared. In addition, the test results of serum uric acid in patients with different grades of coronary heart disease in the observation group were compared.
Results Compared with the two groups, the serum uric acid, total bilirubin, direct bilirubin and indirect bilirubin were higher in the observation group (P<0.05). In terms of serum uric acid, the patients with coronary heart disease < II patients with coronary heart disease < Ⅲ patients with coronary heart disease < Ⅳ patients with coronary heart disease; In terms of total bilirubin, I CHD patients were > II CHD patients > Ⅲ CHD patients > Ⅳ CHD patients; In terms of direct bilirubin, I CHD patients > II CHD patients > Ⅲ CHD patients > Ⅳ CHD patients; In terms of indirect bilirubin, I patients with CHD were > II patients with CHD > Ⅲ patients with CHD > Ⅳ patients with CHD (P<0.05).
Conclusion   After serum uric acid test, it can be found that there are obvious abnormalities in serum uric acid, total bilirubin, direct bilirubin and indirect bilirubin in elderly patients with coronary heart disease, and the more serious the disease, the greater the difference between different indicators, which is conducive to judging the disease and can provide an important reference for the classification of coronary heart disease.