不稳定心绞痛与急性心肌梗死血脂变化比较

THE CONTRAST OF BLOOD LIPID VARIABILITY BETWEEN UNSTABLE ANGINA PECTORIS AND ACUTE MYOCARDIAL INFARCTION

目的：探讨不稳定心绞痛（ＵＡＰ）和急性心肌梗死（ＡＭＩ）之间血脂变化。方法：对１０９例ＵＡＰ和１４３例ＡＭＩ病人血脂值进行统计学处理分析。结果：ＵＡＰ组ＴＧ（１７１．２±１４６．９）ｍｇ／ｄｌ高于ＡＭＩ值（１３６．９±８４）ｍｇ／ｄｌ（Ｐ〈０．００５），结论，ＵＡＰ病人ＬＤＬ－Ｃ／ＨＤＬ－Ｃ比值增高可能与其血管病变严重性相关。

Objectives:To explore variability of blood lipid on unstable angina pectoris (UAP) and acute myocardial infarction (AMI).Methods:The blood lipid variability of 109 patients with UAP and 143 patients with AMI were analyzed by SPSS.Results:The TG (171.2±146.9) of the patients with UAP (Group UAP) was higher than the TG (136.9±84) of the patients with AMI(Group AMI)(P<0.001),and TG/HDL-C(5.5±6.2) and LDL-C/HDL-C(4.0±1.9) of Group UAP were higher than TG/HDL-C (4.1±3.3) and LDL-C/HDL-C (3.6±1.6) (P<0.05) of Group AMI.Conclusion:The increase of the ratio of LDL-C/HDL-C of UAP patient may be relevant to the severity of coronary arteries.