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有症状的小儿麻痹后遗症患者的血浆脂质和脂蛋白浓度

Plasma lipid and lipoprotein concentrations in symptomatic postpolio patients.

作者信息

Agre J C, Rodriquez A A, Sperling K B

机构信息

Department of Rehabilitation Medicine, University of Wisconsin-Madison Medical School 53792.

出版信息

Arch Phys Med Rehabil. 1990 May;71(6):393-4.

PMID:2334282
Abstract

This study reports lipid and lipoprotein concentrations in postpolio patients seen in our postpolio clinic who were evaluated for complaints of progressive weakness, fatigue, and/or pain. Concentrations of total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), and triglycerides (TG) were determined after an overnight fast. Sixty-four patients (24 men and 40 women) with a mean age of 48 +/- 10 years were studied. Mean (+/- SD) lipid concentrations (mg/dL) for men and women, respectively, were 220 +/- 46 and 213 +/- 43 for TC; 38.5 +/- 8.6 and 59.1 +/- 18.1 for HDL-C; 148 +/- 46 and 129 +/- 36 for LDL-C; and 205 +/- 107 and 105 +/- 55 for TG. Hyperlipidemia was found in 16 of 24 men and 10 of 40 women. In the men, mean HDL-C concentration was in the lowest decile of our hospital laboratory's reference range, whereas mean TC/HDL-C ratio was elevated above the recommended value. It is suggested that lipid and lipoprotein concentrations be evaluated in postpolio patients because a high prevalence of lipid/lipoprotein disorders was found in our subjects. Further research is needed on this topic.

摘要

本研究报告了在我们的小儿麻痹后遗症诊所就诊的小儿麻痹后遗症患者的血脂和脂蛋白浓度,这些患者因进行性肌无力、疲劳和/或疼痛等症状接受了评估。在禁食过夜后测定总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)和甘油三酯(TG)的浓度。研究了64例患者(24名男性和40名女性),平均年龄为48±10岁。男性和女性的平均(±标准差)血脂浓度(mg/dL)分别为:TC为220±46和213±43;HDL-C为38.5±8.6和59.1±18.1;LDL-C为148±46和129±36;TG为205±107和105±55。24名男性中有16名、40名女性中有10名出现高脂血症。在男性中,平均HDL-C浓度处于我院实验室参考范围的最低十分位数,而平均TC/HDL-C比值高于推荐值。建议对小儿麻痹后遗症患者进行血脂和脂蛋白浓度评估,因为在我们的研究对象中发现高脂血症/脂蛋白紊乱的患病率很高。关于这个主题还需要进一步的研究。

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