急性期脑梗死与脑出血患者血脂变化的比较分析

A contrast and analysis of difference of serum lipids between cerebral infarction and cerebral hemorrhage

目的探讨脑梗死患者与脑出血患者在急性期时血脂及血清脂蛋白变化的差异。方法回顾性分析287例血栓及腔隙性脑梗死患者与141例脑出血患者急性期的血清甘油三酯(TG)、总胆固醇(CHOL)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、极低密度脂蛋白(VLOL)、载脂蛋白A1(APOA1)、载脂蛋白B(APOB)的异同。结果脑梗死组TG、HDL-C、LDL-C、VLOL、APOA1、APOB与脑出血组比较差异有显著统计学意义(P<0.01),但2组间CHOL比较差异无统计学意义(P>0.05)。结论脑梗死与脑出血比较血脂、血清脂蛋白代谢变化差异有统计学意义(P<0.05)。

Objective To study the difference of serum lipids and serum lipoprotein between patients with cerebral infarction(CI) and cerebral hemorrhage(CH).Methods Serum levels of TG,CHOL,HDL-C,LDL-C,VLOL,APOA1,APOB wered analyzed retrospectively in 287 CI and 141 CH patients.Results Serum levels of TG,HDL-C,LDL-C,VLOL,APOA1,APOB of CI patients were significantly higher than those of the CH patients(all P<0.01).Conclusion There are unambiguous differences in metabolic vary of serum lipids between patients with CI and CH.