摘要
目的 探讨老年冠心病患者不同临床类型血脂水平的差异。方法 将确诊为冠心病的 70岁以上老年患者6 4 7例 ,分为急性心肌梗死 (AMI)组、稳定性心绞痛 (SAP)组、不稳定性心绞痛 (UAP)组 ,另选无冠心病的老年患者 70例作为对照组 ,比较各组间的血脂水平。结果 AMI组和UAP组血清胆固醇水平与对照组及SAP组比较 ,差异有显著性意义 ;血清甘油三酯水平随着冠心病病情程度加重 ,呈逐渐升高的趋势 ;SAP组、UAP组和AMI组低密度脂蛋白胆固醇 (LDL C)水平高于对照组 ,高密度脂蛋白胆固醇 (HDL C)水平低于对照组 ,差异有显著性意义 ;SAP组、UAP组和AMI组LDL C HDL C比值均高于对照组 ,AMI组LDL C HDL C比值高于UAP组和SAP组 ,差异有显著性意义。结论 在 70岁以上老年冠心病患者中 ,LDL C HDL
Objective To evaluate the blood lipid levels in elderly patients with various types of CHD.Methods 647 patients older than 70 years were divided into acute myocardial infarction (AMI,n=145),unstable angina pectoris (UAP,n=87) and stable angina pectoris (SAP,n=415) groups. Serum total cholesterol,triglyceride,apoA,apoB,HDL-C,LDL-C levels were examined in 647 patients with CHD and 70 controls.Results There was no significant difference in serum triglyceride, apoA, apoB, HDL-C and LDL-C levels among the AMI, UAP, SAP groups and control group, while serum total cholesterol levels were significantly higher in AMI and UAP groups than in control group.LDL-C/HDL-C ratio levels were significantly higher in AMI group than in other groups.Conclusion There is close relationship between LDL-C/HDL-C ratio and AMI in elderly patients.
出处
《中华老年心脑血管病杂志》
CAS
2004年第3期157-159,共3页
Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
关键词
冠状动脉疾病
心肌梗塞
心绞痛
高脂血症
coronary disease
myocardial infarction
angina pectoris
hyperlipidemia
