急性脑梗死患者血脂及其比值水平分析

Analysis on the blood lipid and its ratio in patients with acute cerebral infarction

目的:探讨急性脑梗死患者血脂及其比值水平的差异性。方法:收治急性脑梗死患者186例作为研究组,无症状脑梗死患者128例作为对照组。结果:与对照组比较,研究组患者胆固醇、甘油三酯、低密度脂蛋白、非高密度脂蛋白、即刻血糖、尿酸均明显升高,高密度脂蛋白水平降低,差异具有统计学意义(P<0.05);各血脂比值水平,研究组TC/LDL-C、TC/HDL-C、TG/HDL-C、LDL-C/HDL-C比值均高于对照组,差异具有统计学意义(P<0.05),其中TC/LDL-C与急性脑梗死的发生关系密切。结论:血脂比值升高对预测急性脑梗死的发生具有一定意义,较单项血脂有更好的临床预测价值。

Objective：To investigate the difference of blood lipid and its ratio in patients with acute cerebral infarction.Methods：186 patients with acute cerebral infarction were selected as the study group,and 128 patients with asymptomatic cerebral infarction as the control group.Results：Compared with the control group,the levels on cholesterol,triglyceride,low density lipoprotein,high density lipoprotein,blood glucose and uric acid of patients in the study group were significantly increased,and the level of high density lipoprotein decreased significantly（P〈0.05）;the ratio of blood lipid level,TC/HDL-C,TG/HDL-C,TC/LDL-C of the study group,the ratio of LDL-C/HDL-C was higher than those of the control group,and the difference was significant（P〈0.05）.TC/LDL-C has closely related to the occurrence of acute cerebral infarction.Conclusion：The increase of serum lipid ratio has a certain significance in predicting the occurrence of acute cerebral infarction,and has better clinical predictive value than single blood lipid.