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有胆结石和无胆结石患者血清脂质谱的比较分析:一项前瞻性横断面研究。

Comparative analysis of serum lipid profiles in patients with and without gallstones: A prospective cross-sectional study.

作者信息

Hayat Sikandar, Hassan Zarbakht, Changazi Shabbar Hussain, Zahra Anam, Noman Muhammad, Zain Ul Abdin Muhammad, Javed Haris, Ans Armghan Haider

机构信息

Services Institute of Medical Sciences Lahore, Pakistan.

Fatima Memorial Hospital Lahore, Pakistan.

出版信息

Ann Med Surg (Lond). 2019 Apr 24;42:11-13. doi: 10.1016/j.amsu.2019.04.003. eCollection 2019 Jun.

Abstract

OBJECTIVES

Gallbladder disease is one of the most common diseases of the gastrointestinal tract. Various studies have shown an association between gallstones and an alteration in the serum lipids. The objective of this study was to compare serum lipid profile of gallstone patients with the controls.

METHODS

This prospective cross-sectional study was conducted in the Surgical Department of the Services Institute of Medical Sciences from August 2017 to August 2018. A total of 50 patients were included in the study after screening through the inclusion criteria. A control group of 50 inpatients with no personal or family history of gallstones were also recruited for comparison. Results were expressed as mean with standard deviation. Students t-test was used to compare the data between the patients and the control groups (p < 0.05 was considered statistically significant). SPSS software, version 20 was used for statistical analysis.

RESULTS

The mean age of the patients was 40.90 years and that of controls was 34.74 years. 46 patients were females and 44 controls were females. The serum cholesterol levels were high in the patients as compared to the controls but the comparison was not statistically significant. Serum triglycerides levels were high in the patients as compared to the controls and the analysis was statistically significant. Furthermore, the serum HDL levels were low in the patients as compared to the controls with a statistically significant p-value. However, the serum LDL levels were low in the patients as compared to the control group.

CONCLUSION

It was concluded that serum triglyceride levels and serum HDL levels were statistically significant in gallstone patients and there was a positive correlation between these parameters and gallstone disease.

摘要

目的

胆囊疾病是胃肠道最常见的疾病之一。各种研究表明胆结石与血清脂质改变之间存在关联。本研究的目的是比较胆结石患者与对照组的血清脂质谱。

方法

本前瞻性横断面研究于2017年8月至2018年8月在医学科学服务研究所外科进行。通过纳入标准筛选后,共有50名患者纳入研究。还招募了50名无胆结石个人或家族史的住院患者作为对照组进行比较。结果以均值±标准差表示。采用学生t检验比较患者组和对照组的数据(p<0.05被认为具有统计学意义)。使用SPSS 20版软件进行统计分析。

结果

患者的平均年龄为40.90岁,对照组为34.74岁。患者中有46名女性,对照组有44名女性。与对照组相比,患者的血清胆固醇水平较高,但比较无统计学意义。与对照组相比,患者的血清甘油三酯水平较高,分析具有统计学意义。此外,与对照组相比,患者的血清高密度脂蛋白水平较低,p值具有统计学意义。然而,与对照组相比,患者的血清低密度脂蛋白水平较低。

结论

得出结论,胆结石患者的血清甘油三酯水平和血清高密度脂蛋白水平具有统计学意义,且这些参数与胆结石疾病之间存在正相关。

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