老年人群心肌梗死和脑卒中患者的血脂结果分析

Analysis of Serum Lipid Level of Myocardial Infarction and Stroke in the Elderly Patients

目的 :为了揭示脂质代谢在动脉血栓性心肌梗死、脑梗死和脑出血之间的异同 ,评价脂质在心肌梗死及脑卒中的作用。方法 :甘油三脂 (TG)、总胆固醇 (TC)及高密度脂蛋白胆固醇 (HDL)用酶法测定 ,低密度脂蛋白胆固醇 (LDL)按Friedewald公式计算。结果 :心肌梗死组、脑梗死组TG、TC、LDL血清水平显著高于对照组 ;脑出血TG水平显著高于对照组 ,TC显著低于对照组 ,三组中HDL血清水平显著低于对照组。心肌梗死TC、LDL血清水平显著高于脑卒中 ;脑梗死TC、LDL血清水平显著高于脑出血。结论 :心肌梗死、脑卒中病人存在着脂质代谢紊乱 ,但脂质代谢异常并不完全相同 ,HDL、TG为共有异常指标。高TC、LDL易发生心肌梗死、脑梗死 ,但更易导致心肌梗死 。

Objective:Bring similarities and differences of blood l ip id metabolism in artery thrombus myocardial infarction,cerebral infarction and c erebral hemorrhage,to evaluate blood lipid action in myocardial infarction and s troke.Methods:Triglyceride(TG),total cholesterol(TC)and highdensity lipoprotein-cholesterol(HDL-C)were measured with enzyme methods,lowdensity lipop rotein-cholesterol(LDL-C)was calculated according to Friedewald formula.Results:Levels of TG,TC,LDL in patients with myocardial infarction and cer ebral infarction were significantly higher than those in the controls;level of T G in patients with cerebral hemorrhage was signifecantly higher than those in th e controls,but level of TC was significantly lower than those in the controls.Le vel of HDL in three groups were significantly lower than those in the controls.L eves of TC,LDL in myocardial infarction were significantly higher than those in the patients with cerebral hemorrhage.Conclusions:It suggests that d isturbances of blood lipid metabolism in the patients with myocardial infarction or stroke aren't completely same.HDL,TG are common abnormal indicator.Hight TC,LDL easily occur myocardial infarction and cerebral infarction,but easier oc cur myocardial infarction.Low TC easily happens cerebral hemorrhage.