老年高血压患者的脂质状态分析

The study of lipid in the elderly with hypertension

为观察老年高血病患者血脂水平变化特点,我们将合并CHD的老年高血压患者30例和有CHD、无高血压病的30例老年患者,配对分析总胆固醇(TC)、甘油三脂脂(TG)、低密度脂蛋白(LDL—C)、高密度脂蛋白(HDL—C)、载脂蛋白A及B(ApoA、ApoB)、及脂蛋白[a](Lp[a])的水平.结果显示对见察组比对照组,(总胆固醇)TC(222.5±40.0比181.2±40.0mg/dl)、(甘油三脂)TG(215.4±98.9比166.7±99.7mg/dl)、(低密度脂蛋白)LDL—C(152.8±31.6比112.6±34.6mg/dl)以及(载脂蛋白 B)ApoB(±1.060±0.266比0.833±0.263g/l)均明显为高(P<0.05—0.01).并且观察组的异常检出率在上述相应指标也多于对照组.结论:老年冠心病合并高血压患者容易出现脂质代谢紊乱.

To investigate the changes of lipids in the elderly with hypertension, thirty cases of the old patients with coronary heart disease (CHD) and hypertesion (as investigation group) , the other thiry CHD elderly without hypertension (control group) were studied in pair. The results showed, there were higher levels of total cholesterol (222. 5±40. 0 vs 181. 2±40. 0 mg/dl), triglyceride (215. 4±98. 9 vs 166. 7±99. 7 mg/dl), low - density - lipoprotein cholesteral (152. 8±31. 6 vs 112. 6±34. 6 mg/dl) and apolipoprotein B (1. 060±0. 266 vs 0. 822±0. 263 g/1), all in investigation group than control's, all P<0. 05 - 0. 01. The abnormal lipids levels happended more in the former than the latter group. It suggests, the abnormality of lipids metablism appear more often in the elder CHD patients with hypertension.