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糖尿病患者中高密度脂蛋白和低密度脂蛋白与血管疾病患病率的关系

High-density and low-density lipoproteins and prevalence of vascular disease in diabetes mellitus.

作者信息

Reckless J P, Betteridge D J, Wu P, Payne B, Galton D J

出版信息

Br Med J. 1978 Apr 8;1(6117):883-6. doi: 10.1136/bmj.1.6117.883.

Abstract

The prevalence of vascular disease among 154 diabetic patients was analysed in relation to the serum concentrations of individual lipoproteins. Overal the presence of vascular disease (59 cases) was positively associated with serum cholesterol and low-density-lipoprotein cholesterol but negatively associated with high-density-lipoprotein (HDL) cholesterol. The negative relation between HDL and vascular disease was not observed in all subgroups of diabetics. We conclude that there may be no overriding association between HDL and vascular disease in diabetics as proposed for some non-diabetic populations.

摘要

分析了154例糖尿病患者血管疾病的患病率与个体脂蛋白血清浓度之间的关系。总体而言,血管疾病(59例)的存在与血清胆固醇和低密度脂蛋白胆固醇呈正相关,但与高密度脂蛋白(HDL)胆固醇呈负相关。在糖尿病患者的所有亚组中均未观察到HDL与血管疾病之间的负相关关系。我们得出结论,对于糖尿病患者而言,HDL与血管疾病之间可能不存在如某些非糖尿病人群中所提出的那种压倒性关联。

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本文引用的文献

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Arteriosclerotic heart disease in diabetes mellitus; a clinical study of 383 patients.
Am J Med. 1955 Mar;18(3):438-47. doi: 10.1016/0002-9343(55)90224-2.
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