血脂异常分类方法的研究

The Simple Five-group Classification Study of Patients with Abnormal Lipids

目的为临床建立一种简易、实用的血脂异常分类方法。方法对587例血脂正常人及921例血脂异常患者进行了甘油三酯(TG)、胆固醇(TC)、高密度脂蛋白(HDL)、脂蛋白(a)[Lp(a)]的分析,应用简易5型分类方法进行了分类研究。结果单纯高TC血症、单纯高TG血症、低HDL血症、高Lp(a)血症和混合型血脂异常分别占总数19.32%、28.66%、15.85%、18.02%、21.17%。女性在单纯性高TC血症中所占比例较大,而男性在高Lp(a)及低HDL-C血脂中发病率较高。结论简易5型分类法较实用,更适合目前临床血脂异常的检测及诊断,较其他分型方法更合理。

Objective To establish a simple five -group classification method for patients with blood lipid disorder. Methods The serum TC,TG,HDL and LP（a） were detected in 587 normal lipids subjects and 921 abnormal lipid. Subjects according to the lipids distribution,921 abnormal subjects were classified by simiple five -group method. Results Hypercholestrolemia, hypertriglyceridemia, low high density lipoidaemia, hypedipoidaemia （a） , mixed abnormal lipoidemia were accounted for 19. 32% ,28.66%, 15.85%, 18.02% and 21.17% respectively. Female took the majority in hypercholestrolemia, while male was predomin antinhypedipoidaemia （a） and low high density lipoidaemia. Conclusion This study reveals that this classification method is practical and feasible for the diagnosis and treatment of abnormal lipoidemia patients.