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埃塞俄比亚吉马市吉马大学医学中心疑似感染患者的血脂异常及相关因素

Dyslipidemia and Associated Factors Among Patients Suspected to Have Infection at Jimma University Medical Center, Jimma, Ethiopia.

作者信息

Abdu Ahmedmenewer, Cheneke Waqtola, Adem Mohammed, Belete Rebuma, Getachew Aklilu

机构信息

Department of Medical Laboratory Sciences, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.

Department of Medical Laboratory Sciences, College of Health Sciences, Jimma University, Jimma, Ethiopia.

出版信息

Int J Gen Med. 2020 Jun 17;13:311-321. doi: 10.2147/IJGM.S243848. eCollection 2020.

Abstract

BACKGROUND

Dyslipidemia is a group of plasma lipid and lipoprotein abnormality that is metabolically associated, and it is categorized by low HDL-C and increased LDL-C, TGs, and total cholesterol (TC) levels. Colonization of the stomach by () causes chronic inflammation of the stomach wall which can change some biochemical factors in the patient. On the association of infection and its contributions to change in serum lipid profile, different studies reported varying outcomes.

OBJECTIVE

To assess the prevalence of dyslipidemia and associated factors among patients suspected for infection in the outpatient department of Jimma University Medical Center, Jimma, Ethiopia.

MATERIALS AND METHODS

A hospital-based cross-sectional study was conducted from January 03 to April 05, 2019, at Jimma University Medical Center on 369 suspected patients. The study subjects were selected by convenient sampling technique. About 5mL of blood was collected from an overnight fasting individual. Data were edited, coded, and entered into Epidata version 3.1 and exported to (SPSS) version 25 for analysis. Bivariate analysis was used to screen those variables which were candidates for multivariate analysis.

RESULTS

From the total study subjects 77.5% had at least one abnormality in lipid profile and 87.2% of positive patients had at least one abnormality in lipid profile. Our study demonstrated that there was significant increase of mean ± SD of TC, TG, and LDL-C in positive patients than negative patients (-value < 0.05). After adjusting for traditional dyslipidemia risk factors, infection was an independent predictor of dyslipidemia (AOR 2.628, 95% CI 1.477-4.678, =0.001).

CONCLUSION

An increase in prevalence of dyslipidemia among positive patients indicates infected patients have a possibility of altered lipid profile, therefore assessment of lipid profile in infected patients is recommended.

摘要

背景

血脂异常是一组代谢相关的血浆脂质和脂蛋白异常,其分类依据是高密度脂蛋白胆固醇(HDL-C)降低以及低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TGs)和总胆固醇(TC)水平升高。()在胃内定植会导致胃壁慢性炎症,进而可能改变患者体内的一些生化因子。关于感染及其对血清脂质谱变化的影响,不同研究报告了不同结果。

目的

评估埃塞俄比亚吉马市吉马大学医学中心门诊部疑似感染患者中血脂异常的患病率及相关因素。

材料与方法

2019年1月3日至4月5日,在吉马大学医学中心对369例疑似患者进行了一项基于医院的横断面研究。研究对象采用方便抽样技术选取。从过夜禁食的个体采集约5毫升血液。数据进行编辑、编码,录入Epidata 3.1版本,然后导出至(社会科学统计软件包)SPSS 25版本进行分析。采用双变量分析筛选多变量分析的候选变量。

结果

在所有研究对象中,77.5%的患者至少有一项脂质谱异常,87.2%的阳性患者至少有一项脂质谱异常。我们的研究表明,阳性患者的TC、TG和LDL-C的平均值±标准差显著高于阴性患者(-值<0.05)。在调整传统血脂异常危险因素后,感染是血脂异常的独立预测因素(调整后比值比2.628,95%置信区间1.477 - 4.678,=0.001)。

结论

阳性患者中血脂异常患病率增加表明感染患者可能存在脂质谱改变,因此建议对感染患者进行脂质谱评估。

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