血脂与冠心病危险性研究

AN ANALYSIS OF SERUM TRIGLYCEKIDE AND SERUM CHOLESTEROL AS CORONARY HEART DISEASE RISK FACTORS

采用酶法检测１００例冠心病患者和９５例正常人的血清胆固醇和甘油三酯。结果显示冠心病组和健康人群组间ＴＣ水平和高ＴＣ阳性率无显著性差异，ＬＤＬ·Ｃ亦有相似结果。两组间ＴＧ均值和高ＴＧ阳性率差异显著。多因数非条件Ｌｏｇｉｓｔｉｃ回归分析表明ＴＣ、ＬＤＬ一ｃ与冠心病危险因素无关，ＴＧ是冠心病危险因子，而不是独立因素，其依赖于ＨＤＬＤＣ降低而起作用。提示ＨＤＬＤＣ是预测冠心病危险度的指标之一。

Blood serum triglyceride(TG) and cholesterol were determined by enzymic assayin 100 patients with coronary heart disease(CHD) and 95 normal subjects. The result showedthat there were no statistically significant differences in the total cholesterol(TC) values and thelow lipoprotein-cholesterol(LDL-C) values between the CHD group and the control group.But, TG values in CHD patients were much higher than those found in the normal subjects.Lower levels of HDL-C were found in CHD patients. Multiple variations non-condition analy-sis showed that TC and LDL-C could not predict the risk of CHD, TG might be a strong riskfactor for CHD, but it is no longer a dependent risk factor after the adjustment of HDL-Clevel.