急性ST段抬高心肌梗死患者的血脂因素水平分析

Analysis for lipid levels in patients with acute ST-segment elevation myocardial infarction

目的本研究的目的是评价急性ST段抬高心肌梗死患者的血脂因素水平。方法研究共入选194例急性ST段抬高心肌梗死患者作为研究组及82例经皮冠状动脉造影术排除冠心病的患者作为对照组,应用logistic多因素回归分析方法及ROC曲线下面积评价各种血脂水平及血脂比值与急性ST段抬高心肌梗死的关系。结果急性ST段抬高心肌梗死患者的各项血脂水平明显高于对照组,应用logistic多因素回归分析显示非HDL-C是目前常规血脂检测中评价发生急性ST段抬高心肌梗死的最佳指标。结论高脂血症是患者发生急性ST段抬高心肌梗死的重要危险因素之一,非HDL-C是预测急性ST段抬高心肌梗死的较好指标。

Objective Acute ST-segment elevation myocardial infarction was one of the main death causes of cardio- vascular disease. The purpose of this study was to evaluate the lipid levels for the patient with acute ST-segment ele- vation myocardial infarction. Methods We collected 194 patients with acute ST-segment elevation myocardial infarc- tion patients as the study group and 82 cases for exclude coronary heart disease by percutaneous coronary angiogra- phy as control group. We evaluated various of lipid levels and lipid ratios in patients with acute ST-segment eleva- tion myocardial infarction by logistic multivariate regression analysis and under the ROC curve area methods. Re- suits The patients with acute ST-segment elevation myocardial infarction were significantly higher than the control group on lipid levels. The logistic multivariate regression analysis showed that non-HDL-C was the best indicator of the conventional lipid testing in the evaluation of acute ST-segment elevation myocardial infarction. Conclusions Hyperlipidemia is an important risk factor in patients with acute ST-segment elevation myocardial infarction. The non-HDL-C was a better indicator to predict acute ST-segment elevation myocardial infarction.