摘要
目的 :探讨急性心肌梗塞 (AMI)患者发病 2 4h内的血脂水平及与性别、年龄、高血压病、糖尿病的关系。方法 :对98例 AMI患者入院时的血清甘油三酯 (TG)、总胆固醇 (TC)、高密度脂蛋白 -胆固醇 (HDL- C)、低密度脂蛋白 (L DL-C)、极低密度脂蛋白 -胆固醇 (VL DL- C)、低密度脂蛋白 -胆固醇 /高密度脂蛋白 -胆固醇之比 (L/ H)进行测定 ,并根据患者年龄、性别、有无合并糖尿病、高血压病进行分组 ,比较各组间的血脂。结果 :心肌梗塞急性期 TG≥ 2 .2 mm ol/ L的患者占 2 7% ,TG在 1.76～ 2 .2 mmol/ L 者占 4% ;TC≥ 6 .2 4m mo1/ L 的患者占 18% ,TC在 4.6 8～ 6 .2 4mmol/ L 者占5 7% ;单纯 HDL - C<0 .91mmol/ L者 6例 ,占 6 %。结论 :心肌梗塞患者急性期即可发现高脂血症。
Objective:To detect serum lipid level in early stage (≤24 hours) of acute myocardial infarction (AMI) so as to evaluate its relationships with gender,age,hypertension,diabetic mellitus (DM).Methods:Serum cholesterol (TC),triglyceride (TG),low density lipoprotein cholesterol (LDL C),high density lipoprotein cholesterol (HDL C),small dense low density lipoprotein cholesterol (VLDL C),low density lipoprotein cholesterol/high density lipoprotein cholesterol (L/H) were measured in 98 patients with acute myocardial infarction (AMI).Results: TG levels ≥2 2mmol/L were found in 27% of patients,TG levels within 1.76 and 2 2mmol/L,were found in 4% of patients.TC levels ≥6.24mmol/L were found in 18% of patients,TC levels within 4.68 and 6.24mmol/L were found in 57% of patients.HDL C levels <0.91mmol/L were found in 6 patients.Conclusion:Serum lipid disorders can be detected in early stage of acute myocardial infarction.
出处
《华夏医学》
2001年第4期419-420,共2页
Acta Medicinae Sinica
关键词
心肌梗塞
高脂血症
血脂水平
AMI
myocardial infarction
serum lipid
hypercholesterolemia
