平板运动试验阳性患者血尿酸水平与冠状动脉造影结果的相关性

摘要

Objective To investigate the relationships between uric acid (UA) and results of coronary artery angiography in patients with positive treadmill exercise test (TET). Methods 238 hospitalized patients with positive TEP undergoing coronary artery angiography were selected during February 2006 and December 2008. All patients received biochemical measurement. Accord ing to the results of coronary artery angiography, the patients were divided into positive coronary artery angiography group and nega tive coronary artery angiography group. UA and blood lipids levels (cholesterol, triglyceride, high-density lipoprotein, low-density lipoprotein) in both the groups were compared. Results 187 patients were in positive coronary angiography group, and 51 were in negative coronary artery angiography group. There were no significant differences in gender, age, complication, smoking history, and drinking history between the two groups ( P > 0. 05), with comparability. However, the UA level in positive coronary artery an giography group was higher than that in negative coronary artery angiography group, and the difference was significant (P 0. 05). Conclusion There is a close relationship be tween UA level and results of coronary artery angiography in patients with positive TET.%目的 探讨平板运动试验(treadmill exercise test,TET)结果阳性患者血尿酸水平与冠状动脉(冠脉)造影结果的相关性.方法 选择2006年2月～ 2008年12月在我院住院TET结果阳性且行冠脉造影238例,均行血液生化检查,并根据冠脉造影结果将其分为造影阳性组和造影阴性组,比较两组血尿酸及血脂(胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇)水平.结果 造影阳性组187例,造影阴性组51例,两组性别、年龄、合并症、吸烟史及饮酒史等一般情况比较差异无统计学意义(P＞0.05),有可比性.造影阳性组血尿酸水平明显高于造影阴性组,差异有统计学意义(P＜0.05)；但两组血脂水平比较差异无统计学意义(P＞0.05).结论 TET结果阳性患者血尿酸水平与冠脉造影结果密切相关.