Value analysis of combined detection of HCY, UA and four blood lipid items in the risk assessment of cardiovascular and cerebrovascular diseases among middle-aged and elderly residents in the community
联合检测HCY、UA及血脂四项在社区中老年居民心脑血管疾病风险评估中的价值分析

摘要

目的 分析联合检测HCY、UA及血脂四项在社区中老年居民心脑血管疾病风险评估中的价值。方法 选择我院在2024年3月份至2025年9月份于我社区的常住居民，数量为500名，依据数字表法分成对照组和实验组，每组250名，对照常规健康体检（血糖、血脂）建立标准化健康教育；实验组在对照组基础上提供HCY、UA检测，判断两组不良心血管事件发生率；对比两组HCY、UA、血脂水平。结果 通过建立不同的管理方式后，实验组不良事件发生率低于对照组（p<0.05），分析HCY、UA以及血脂水平，实验组优于对照组，p<0.05。结论 将血脂四项、HCY、UA联合检测应用于社区中老年心血管疾病风险评，可以提升诊断的准确性，为临床干预提供依据。

Abstract

Objective To analyze the value of combined detection of HCY, UA and blood lipid in the risk assessment of cardiovascular and cerebrovascular diseases among middle-aged and elderly residents in the community.
Methods 500 permanent residents of our community from March 2024 to September 2025 were selected. They were divided into a control group and an experimental group, with 250 residents in each group, based on the digital table method. Standardized health education was established in comparison with routine health check-ups (blood glucose and blood lipid). The experimental group was provided with HCY and UA tests on the basis of the control group to determine the incidence of adverse cardiovascular events in both groups. Compare the levels of HCY, UA and blood lipid between the two groups.
Results After establishing different management methods, the incidence of adverse events in the experimental group was lower than that in the control group (p<0.05). Analyzing HCY, UA and blood lipid levels, the experimental group was superior to the control group, p<0.05.
Conclusion   The combined detection of four lipid items, HCY and UA in the risk assessment of cardiovascular diseases among middle-aged and elderly people in the community can improve the accuracy of diagnosis and provide a basis for clinical intervention.