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[冠状动脉疾病中的低密度脂蛋白(LDL)和高密度脂蛋白(HDL)胆固醇]

[Low-density lipoprotein (LDL) and high-density lipoprotein (HDL) cholesterol in coronary artery disease].

作者信息

Halilović Enes, Kabil Emir, Ljuca Farid, Nuhbegović Sabina, Berbić Selma, Halilović Ejub

机构信息

JZU Dom zdravlja sa poliklinikom Dr. Mustafa Sehović Tuzla.

出版信息

Med Arh. 2007;61(2 Suppl 1):7-10.

Abstract

The retrospective study included 250 patients, treated at Clinic for cardiovascular diseases of Tuzla Clinical center, between 30.08.2003. and 15.11.2004. In the coronary disease group there were 145 men, 55 women, with diagnosed coronary artery stenosis of 50% or more. The control group had 150 patients, 35 men and 15 women, medium age of 58.2. The control group had coronary artery stenosis of 50% or less. Coronarography was done using AXIOM ARTIS DFC (SIEMENS). Lipoproteins were determined on the Clinic for biochemistry of Tuzla Clinical Center using automatic analyser DIMENSION LxR (DADE BOEHRING). In the coronary artery disease (CAD) group elevated triglycerides were found in 38.5%, total cholesterol in 88% and LDL 55.5% of patients. The concentration of HDL cholesterol was elevated in 52.5% of patients. In the control group elevated values of triglycerides were found in 28%, total cholesterol 46%, LDL cholesterol 16%, and lower values of HDL in 10% of patients. Statistically significant differences of lipide profile of CAD patients in relation to the control group was defined. Using regresional analysis it was established that decide elevated values of total and LDL cholesterol, low values of HDL were also significant.

摘要

这项回顾性研究纳入了250例患者,于2003年8月30日至2004年11月15日在图兹拉临床中心心血管疾病诊所接受治疗。冠心病组有145名男性、55名女性,诊断为冠状动脉狭窄达50%或以上。对照组有150例患者,35名男性和15名女性,平均年龄58.2岁。对照组冠状动脉狭窄在50%或以下。使用AXIOM ARTIS DFC(西门子)进行冠状动脉造影。脂蛋白在图兹拉临床中心生物化学诊所使用自动分析仪DIMENSION LxR(达德·博灵)进行测定。在冠心病(CAD)组中,38.5%的患者甘油三酯升高,88%的患者总胆固醇升高,55.5%的患者低密度脂蛋白升高。52.5%的患者高密度脂蛋白胆固醇浓度升高。在对照组中,28%的患者甘油三酯值升高,46%的患者总胆固醇升高,16%的患者低密度脂蛋白胆固醇升高,10%的患者高密度脂蛋白值降低。确定了CAD患者与对照组脂质谱的统计学显著差异。通过回归分析确定,总胆固醇和低密度脂蛋白胆固醇值升高以及高密度脂蛋白值降低也具有显著性。

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