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老年下肢动脉疾病踝臂指数与血清胆红素的关系

Relationship between ankle brachial index and serum bilirubin in elderly people with lower extremity arterial disease
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摘要 目的:探讨老年下肢动脉疾病踝臂指数与血清胆红素的关系。方法:将85例老年患者按照踝臂指数的不同,分为两组:A组为下肢动脉疾病组35例,B组为非下肢动脉疾病组50例,分别测定血清总胆红素、直接胆红素、间接胆红素水平及颈动脉粥样硬化斑块程度。结果:随着踝臂指数(ABI)值升高,血清总胆红素、直接胆红素、间接胆红素水平升高,A组<B组(P<0.01),颈动脉粥样硬化斑块分级程度降低,A组>B组(P<0.01)。结论:老年下肢动脉疾病患者ABI降低、颈动脉粥样硬化斑块程度增加与血清胆红素水平降低有关,血清胆红素具有抗动脉粥样硬化作用。 Objective:To investigate the relationship between ankle brachial index (ABI) and serum bilirubin in elderly people with lower extremity arterial disease.Methods:85 elderly patients were divided into 2 groups according to ABI, group A(lower extremity arterial disease,LEAD group),35 cases,group B (non LEAD group),50 cases. The grade of atheroma and ABI were examined at the same time. Their serum bilirubin were measured and compared by the statistical software.Results :The difference of serum bilirubin was significant, group A〈 group B (P〈0.01).The difference of carotid atheroma was also significant,group A〉group B(P〈0.01).Conelusion: In elderly padents with lower extremity arterial disease,the grades of carotid atheroma has a inverse correlation with ABI. There is a positive association between serum bilirubin and ABI. It might be concluded that the higher serum bilirubin,the higher ABI,the lower the grade of atheroma.
作者 李妍妍
出处 《现代医药卫生》 2010年第5期656-657,共2页 Journal of Modern Medicine & Health
关键词 老年 下肢动脉疾病 踝臂指数 血清胆红素 Aged lower extremity arterial disease Ankle brachial index Serum bilirubin
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