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血脂谱与缺血性中风的关联。

Association of lipid profile with ischemic stroke.

作者信息

Uddin M J, Alam B, Jabbar M A, Mohammad Q D, Ahmed S

机构信息

Department of Neurology, Mymensingh Medical College, Mymensingh, Bangladesh.

出版信息

Mymensingh Med J. 2009 Jul;18(2):131-5.

Abstract

This study is an observational case control study conducted in the Neurology department of Dhaka Medical college Hospital (DMCH) to see the relation of ischemic stroke with different components of serum lipids. Cases and controls were selected following certain inclusion and exclusion criteria. Result showed that ischemic stroke was more common after the age of 50 years with mean age of 63.58+/-10.22 years. Male suffered more than female from ischemic stroke (M:F=2.57:1). 80% of the stroke patients belong to middle class economic condition who avail free services of Govt. hospitals. Hypertension and diabetes mellitus (DM) were found to be significant risk factors for ischemic stroke (P<0.01 and P<0.05 respectively). High level of serum total cholesterol and low density lipoprotein (LDL) cholesterol showed significant risk in ischemic stroke (p<0.05). In contrast, low level of high density lipoprotein (HDL) cholesterol appeared as a significant risk factor (p<0.01) indicating beneficial effect of HDL cholesterol on atherosclerotic process. Serum triglyceride level showed no significant effect on ischemic stroke (p>0.05).

摘要

本研究是在达卡医学院医院(DMCH)神经科进行的一项观察性病例对照研究,旨在观察缺血性中风与血清脂质不同成分之间的关系。根据特定的纳入和排除标准选择病例和对照。结果显示,缺血性中风在50岁以后更为常见,平均年龄为63.58±10.22岁。男性缺血性中风患者多于女性(男:女 = 2.57:1)。80%的中风患者属于经济状况为中产阶级的人群,他们享受政府医院的免费服务。高血压和糖尿病(DM)被发现是缺血性中风的重要危险因素(分别为P<0.01和P<0.05)。血清总胆固醇和低密度脂蛋白(LDL)胆固醇水平高在缺血性中风中显示出显著风险(p<0.05)。相比之下,高密度脂蛋白(HDL)胆固醇水平低似乎是一个重要危险因素(p<0.01),表明HDL胆固醇对动脉粥样硬化过程有有益作用。血清甘油三酯水平对缺血性中风无显著影响(p>0.05)。

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