常用血脂检测指标及临床意义

The blood lipids and its clinical significance

血脂可反映体内脂类代谢的情况,是临床上重要的检测指标,广泛应用于动脉粥样硬化性心血管疾病(ASCVD)的防治中。临床上把血浆中总胆固醇(TC)和(或)甘油三酯(TG)过高或高密度脂蛋白胆固醇(HDL-C)过低称为脂质异常。血脂分类中的TG、HDL-C、低密度脂蛋白胆固醇(LDL-C)、脂蛋白(a)[Lp(a)]、ApoA1、ApoB等对评估ASCVD的发生、发展具有重要意义。本文就血脂种类、水平划分、脂质异常分类及相关临床意义进行综述。

Being an important clinical indicator,blood lipids can reflect the metabolism of lipids in the bodyand are widely used in the prevention and treatment of atherosclerotic cardiovascular disease（ASCVD）.Clinically,the excessive total cholesterol（TC）and/ortriglyceride（TG）,or inadequate high-density lipoprotein cholesterol（HDL-C）in plasma are defined as lipid abnormality.TG,HDL-C,low-density lipoprotein cholesterol（LDL-C）,lipoprotein（a）[Lp（a）],ApoA1,ApoB are all of great significance for the assessment of the occurrence and development of ASCVD.This article reviews the classification of blood lipids and lipid abnormality.The clinical significance of lipid abnormality is also explored.