2121例老年急性冠脉综合征患者血清脂类浓度的分析

Analysis of serum lipid levels in 2 121 old patients with coronary artery syndrome

目的 分析 60岁以上老年人血清脂类水平的参考值 ,并探讨急性冠脉综合征与血脂指标的相关性。方法 将 3 766例健康成人分为≤ 60岁和 >60岁的两个年龄段 ,采用生物化学的方法测量他们的血脂水平 ,找出60岁以上老年人的脂类参考值。同时分析 2 12 1例老年急性冠脉综合征病人的脂类指标。结果 60岁以上老年人血脂参考值为 :TC 4.65± 1.96× 1.0 5 mmol/ L;TG 1.0 2± 1.96× 0 .45 mmol/ L;HDL-C 1.47± 1.96× 0 .40 mmol/L ;LDL -C 2 .98± 1.96× 0 .5 6mmol/ L;Apo A1 1.3 2± 1.96× 0 .2 5 g/ L;Apo B 0 .99± 1.96× 0 .3 5 g/ L ,并且急性心肌梗死和不稳定性心绞痛病人血清脂类各项指标之间没有显著性差异。结论 血清 LDL -C/ HDL -C>5和 TG≥ 1.9m mol/ L

Objective To analysis the reference value of serum lipid level in old people above 60 years old and to study the relationship between the serum lipid level and acute coronary artery syndrome.Methods 3 766 normal adults were divided into two groups:≤60 years old and >60 years old.Using biochemical methods to measure their serum lipid levels and find out the reference value of the people above 60 years old.Furthermore to analyse the serum lipid levels in 2 121 old patients with coronary artery syndrome.Results The reference value of lipid levels with old people above 60 years old was:TC:4.65±1.96×1.05mmol/L;TG:1.02±1.96×0.45mmol/L;HDL C:1.47±1.96×0.40mmol/L;LDL C:2.98±1.96×0.56mmol/L;ApoA 1:1.32±1.96×0.25g/L;ApoB: 0.99 ±1.96×0.35g/L.The serum lipid levels had no significant difference between the patient with myocardial infarction and with angina.Conclusions It is thought that LDL C/HDL C>5 and TRIG≥1.9mmol/L may predict the danger factor of coronary artery syndrome better than other markers of serum lipid.