Sirisali K, Kanluan T, Poungvarin N, Prabhant C
Department of Clinical Chemistry, Faculty of Medical Technology, Mahidol University, Bangkok, Thailand.
J Med Assoc Thai. 1992 Dec;75(12):709-13.
Cigarette smoking is an important risk factor for coronary heart disease, stroke and peripheral vascular disease. Accordingly, we measured the serum lipid, lipoprotein-cholesterol and apolipoprotein A-I, B in 128 cigarette smoking males and 67 non-smoking males. The total cholesterol and LDL-cholesterol in smokers and non-smokers showed no statistical significance. The smokers had significantly higher serum triglyceride and VLDL-cholesterol levels (P < 0.001), but significantly lower HDL-cholesterol levels (P < 0.05) than non-smokers. The apolipoprotein A-I was significantly lower and apolipoprotein B was significantly higher in smokers than non-smokers (P < 0.001). Levels of lipid, lipoprotein-cholesterol were related to the number of cigarettes smoked per day. Triglyceride and VLDL-cholesterol levels were significantly higher in those who smoked > 20 cigarettes/day compared with those who smoked 10-20, < 10 cigarettes/day and non-smokers (P < 0.05). Those who smoked > 20 cigarettes/day had significantly lower HDL-cholesterol than those of non-smokers (P < 0.05). All three groups of smokers had significantly lower apolipoprotein A-I than non-smokers (P < 0.05), whereas, those who smoked > 20 cigarettes/day had significantly higher apolipoprotein B levels than those who smoked 10-20, < 10 cigarettes/day and non-smokers (P < 0.05).
吸烟是冠心病、中风和外周血管疾病的重要危险因素。因此,我们检测了128名吸烟男性和67名不吸烟男性的血脂、脂蛋白胆固醇以及载脂蛋白A-I、B。吸烟者和不吸烟者的总胆固醇和低密度脂蛋白胆固醇无统计学差异。吸烟者的血清甘油三酯和极低密度脂蛋白胆固醇水平显著更高(P<0.001),但高密度脂蛋白胆固醇水平显著更低(P<0.05)。吸烟者的载脂蛋白A-I显著更低,载脂蛋白B显著更高(P<0.001)。血脂、脂蛋白胆固醇水平与每日吸烟量有关。与每天吸烟10 - 20支、<10支的人和不吸烟者相比,每天吸烟>20支的人的甘油三酯和极低密度脂蛋白胆固醇水平显著更高(P<0.05)。每天吸烟>20支的人的高密度脂蛋白胆固醇显著低于不吸烟者(P<0.05)。所有三组吸烟者的载脂蛋白A-I均显著低于不吸烟者(P<0.05),而每天吸烟>20支的人的载脂蛋白B水平显著高于每天吸烟10 - 20支、<10支的人和不吸烟者(P<0.05)。