上海社区老年患者颈动脉斑块与血清同型半胱氨酸、高脂血症的相关分析

Correlation Analysis of Carotid Artery Plaque in Shanghai Community Elderly Patients with Serum Homocysteine, Hyperlipidemia

目的:通过分析中心城区老年患者颈动脉斑块与血清同型半胱氨酸、高脂血症的关系,为防治心脑血管疾病提供参考。方法:选择2014年1月至2014年6月在五里桥街道社区卫生服务中心就诊的社区老年患者共226例,进行血清HCY、血脂和颈动脉超声检测,比较颈动脉斑块与血清HCY、血脂关系。结果:大于70岁组老年患者颈动脉斑块检出率显著增高;不同年龄层次男性高HCY检出率大于女性(P<0.05);年龄大于等于60岁的颈动脉斑块患者中,男性高HCY检出率大于女性(P<0.05);男性患者颈动脉斑块检出与高血脂无统计学意义;高HCY患者及高HCY+高TG患者颈动脉斑块检出率高,有统计学意义(P<0.05)。结论:老年患者中应关注颈动脉斑块发生以及血清HCY、血脂水平,应对多种危险因素进行控制,及早给予干预治疗。

Objective： By analyzing urban elderly patients with carotid plaques and serum homocysteine,hyperlipidemia,provide reference for prevention and treatment of cardiovascular and cerebrovascular diseases.Methods：Choose between January 2014 and June 2014 in Wuliqiau street community health service center elderly patients,serum HCY and lipid and carotid ultrasound examination, a total of 226 cases,By gender, age,layered,Compare different gender and age level relationship between carotid plaques and serum H（＇Y and lipid.Results：More than 70 years groups of elderly patients with carotid artery plaque detection rate increased significantly. Different age levels of male high HCY detection rate is more than women（P〈0.05）. Age greater than equal to 60 in patients with carotid plaques,Male high HCY detection rate is more than women（P〈0.05）.Male patients with carotid plaques detection with high cholesterol has no statistical significance; Patients with high HCY and high HCY ＋ high TG in patients with carotid artery plaque detection rate is high,There are statistically significant（P〈0.05）. Conclusion：Elderly patients should focus on carotid plaques and serum HCY and lipid levels,Deal with a variety of risk faclors to control,Early intervention treatment.