摘要
目的调查危重病人血脂水平变化,并探讨其临床意义。方法检测41例危重病人和279例健康人群(对照组)血脂即甘油三脂(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平。结果危重病人血浆TG、TC、HDL-C及LDL-C明显低于对照组(P<0.05),危重组TG水平[(1.00士0.62)mmol/L比(1.30士0.93)mmol/L],TC水平[(4.06±0.79)mmol/L比(5.17士0.76)mmol/L],HDL-C水平((1.32±0.33)mmol/L比(1.54士0.41)mmol/L],LDL-c水平[(2.05士0.62)mmol/L比(2.85士0.7)mmol/L]均显著大于对照组(P<0.05)。两组之间比较差别有统计学意义。结论危重病人血脂测定可以用于危重病人的病情评估,用于判断预后和指导治疗。
Objective To investigate the serum lipid level in critically ill patients, and discuss the clinical significance.Methods : In 41 Critically ill patients and 279 healthy control subjects, serum lipid level including triglyceride (TG), total cholesterol(TG).low density lipoprotein cholesterol (LDL C) and high density lipoprotein cholesterol (HDL-C) were measured. Results The serum lipid level was significantly lower in the critically ill patients than that in the control TG (1.00 ± 0.62) mmol/L vs (1.30 ± 0.93) mmol/L], TC 水平[ (4.06±0.79) mrnol/L vs (5.17 ±0.76)mmol/L], HDL-C 水平 ((1.32±0.33) mmol/L vs (1.54 ± 0.41) mmol/L), LDL-c 水平 [ (2.05 ± 0.62)mmol/L vs (2.85 ± 0.7) mmol/L]. Conclusion The serum tipid level can not only be used to evaluate the critically ill patients, but also predict the prognosis and instruct the therapy.
关键词
危重病
血脂
Critically ill patients
Serum lipid.