糖尿病患者急性心肌梗死后早期血脂变化

Changes of blood fat in diabetic patients in early phase of acute myocardial infarction

目的分析糖尿病患者急性心肌梗死(AMI)后早期血脂水平变化。方法连续入选318例AMI住院患者,检测入院后24h内血脂水平。根据患者是否合并2型糖尿病分为AMI非糖尿病组(n=238)及AMI糖尿病组(n=80),比较两组患者血脂水平差异。结果两组患者AMI早期,除载脂蛋白A(apoA)外,总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、载脂蛋白B(apoB)水平均无统计学差异(P均>0.05)。结论糖尿病患者急性心肌梗死后早期,除apoA外,血脂水平与非糖尿病患者无显著差异。

Objective To analyse the changes of blood fat level in diabetic patients in early phase of acute myocardial infarction（AMI）.Methods The hospitalized AMI patients（n=318） were chosen and their blood fat level was detected within 24 hours after hospitalization.All patients were divided into the non-diabetic AMI group（n=238） and diabetic AMI group（n=80） according to whether the AMI patients had complicated type 2 diabetes.The level of blood fat was compared between two groups.Results Between two groups and except apolipoprotein A（apo A）,there were no statistical differences in the levels of total cholesterol（TC）,triglyceride（TG）,high density lipoprotein cholesterol（HDL-C）,low density lipoprotein cholesterol（LDL-C） and apolipoprotein B（apo B,all P0.05）.Conclusion The level of blood fat,except apo A,has no difference between diabetic and non-diabetic patients in early phase of AMI.