冠状动脉粥样硬化性心脏病患者血管重建术后血脂状况调查

Investigation of blood lipid profile in patients with coronary atherosclerotic heart disease after vascular reconstruction

目的了解冠状动脉粥样硬化性心脏病(冠心病)患者血管重建术后血脂状况。方法对210例行血管重建术的冠心病患者进行血脂检查,术后半年复查其血脂改变状况。结果 210例患者中术前总胆固醇异常92例(占43.81%),术后异常89例(占42.38%),两次检查中结果升高有89例(占42.38%);低密度脂蛋白胆固醇术前异常156例(占74.28%),术后异常147例(占70.00%),两次检查中结果升高的57例(占27.14%)。结论冠心病行血管重建术后的患者血脂异常仍占有较大比例,建议临床医生应加强对高危患者的血脂管理。

Objectives To study the serum lipids in patients with coronary atherosclerotic heart disease （CHD）after vascular reconstruction.Methods Blood examination was conducted in 210 CHD patients after revascularization.Their status of blood lipid was rechecked in half a year.Results In the 210 patients,92 cases （43.81％） were found abnormal total cholesterol before operation,89 cases （42.38％） after operation.Eighty-nime cases （42.38％） increased during the two examinations.Abnormal low-density lipoprotein cholesterol was found in 156 cases （74.28％） before operation,147 cases （70.00％） after operation.Fifty seven cases （27.14％） increased during the two examinations.Conclusions Dyslipidemia still exists in most CHD patients after revascularization,which suggests that clinicians should strengthen the management of blood lipid for patients at high risk.