不同血脂水平对冠脉狭窄的评价

Evaluation of coronary stenosis in different lipid levels

目的分析血脂水平与冠状动脉狭窄的关系。方法依据320CT结果,回顾性分析我院189例患者血脂水平与血管狭窄程度的关系。结果与正常组比较,冠脉轻及重度狭窄患者血清TC、TG及LDL-C升高,HDL-C降低,具有明显差异(P<0.05);TG、HDL-C在不同狭窄组间差异具有统计学意义(P<0.05))。结论 TC、LDL-C作为冠状动脉粥样硬化发生的基础因素,决定血管病变,TG、HDL-C影响冠脉狭窄程度,可能是独立的心血管疾病危险因素。

Objective To analyze the relationship of lipid levels and coronary artery stenosis. Methods The results based on 320CT, retrospective analysis of 189 hospital patients of the relationship with blood lipid levels and the degree of coro- nary stenosis. Results Compared with normal group, mild to severe coronary stenosis serum TC, TG and LDL-C increased, HDL-C reduction, with a significant difference （P 〈 0.05）; TG, HDL-C in different groups with significant differences in the narrow （P 〈 0.05）. Conclusion TC and LDL-C determine vascular disease as coronary atherosclerosis of the basis of fac- tors; TG and HDL-C affect coronary stenosis may be an independent risk factor for cardiovascular disease.