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[产业工人血液生理值的研究。报告2.血清脂质值]

[Investigations on physiological values of blood in industrial workers. Report 2. Serum lipid values].

作者信息

Kawano S, Nakagawa H, Toga H, Okumura Y, Yamagami T, Yamamoto S, Nogawa K

出版信息

Sangyo Igaku. 1982 May;24(3):265-74. doi: 10.1539/joh1959.24.265.

Abstract

In order to establish the physiological values of serum lipids in healthy workers, 1,728 workers aged 35 years and over (1,035 males and 693 females) were examined after the over-night fast. Serum total cholesterol and serum triglycerides were measured by enzyme method. High density lipoprotein-cholesterols were measured by precipitation method (heparin-Mn2+) and beta-lipoprotein also by precipitation method (heparin-Ca2+). Ratios of total cholesterols to HDL-cholesterols and beta-lipoproteins to HDL-cholesterols were calculated. The results obtained are as follows: (1) Frequency distributions of 4 sorts of lipid values and 2 indices fitted approximately to the log-normal distribution. (2) High positive correlation coefficients were found between three lipid measurements, i.e. total cholesterol, triglyceride and beta-lipoprotein, in both men and women. High positive correlation coefficient was found between two ratios, total cholesterol/HDL-cholesterol and beta-lipoprotein/HDL-cholesterol. (3) Geometric means and, 5-95th percentile values in bracket were 184.5 (135-253) mg/dl for total cholesterol in men, 185.4 (139-247) mg/dl for total cholesterol in women, 84.9 (38-188) mg/dl for triglyceride in men, 71.3 (40-126) mg/dl for triglyceride in women, 47.9 (28-81) mg/dl for HDL-cholesterol in men, 51.5 (33-80) mg/dl for HDL-cholesterol in women, 348.3 (211-577) mg/dl for beta-lipoprotein in men, 306.9 (193-489) mg/dl for beta-lipoprotein in women, 3.9 (2.3-6.6) for total cholesterol/HDL-cholesterol in men, 3.6 (2.3-5.7) for total cholesterol/HDL-cholesterol in women, 7.3 (3.6-14.6) for beta-lipoprotein/HDL cholesterol in men, and 6.0 (3.1-11.7) for beta-lipoprotein/HDL-cholesterol in women. (4) Group average values of total cholesterol, triglyceride, beta-lipoprotein, total cholesterol/HDL-cholesterol and beta-lipoprotein/HDL-cholesterol tended to increase with age in women. These differences by age were statistically significant. (5) Mean values of HDL-cholesterol were higher in women than in men in all age groups.

摘要

为确定健康劳动者血清脂质的生理值,对1728名35岁及以上的劳动者(1035名男性和693名女性)进行了空腹检查。采用酶法测定血清总胆固醇和血清甘油三酯。采用沉淀法(肝素-Mn2+)测定高密度脂蛋白胆固醇,采用沉淀法(肝素-Ca2+)测定β-脂蛋白。计算总胆固醇与高密度脂蛋白胆固醇以及β-脂蛋白与高密度脂蛋白胆固醇的比值。所得结果如下:(1)4种脂质值和2个指标的频率分布近似符合对数正态分布。(有2种脂质值和2个指标的频率分布大致符合对数正态分布)(2)男性和女性的总胆固醇、甘油三酯和β-脂蛋白这三项脂质测量值之间均存在高度正相关系数。总胆固醇/高密度脂蛋白胆固醇和β-脂蛋白/高密度脂蛋白胆固醇这两个比值之间存在高度正相关系数。(3)男性总胆固醇的几何均值及括号内的第5-95百分位数为184.5(135-253)mg/dl,女性总胆固醇为185.4(139-247)mg/dl,男性甘油三酯为84.9(38-188)mg/dl,女性甘油三酯为71.3(40-126)mg/dl,男性高密度脂蛋白胆固醇为47.

9(28-81)mg/dl,女性高密度脂蛋白胆固醇为51.5(33-80)mg/dl,男性β-脂蛋白为348.3(211-577)mg/dl,女性β-脂蛋白为306.9(193-489)mg/dl,男性总胆固醇/高密度脂蛋白胆固醇为3.9(2.3-6.6),女性总胆固醇/高密度脂蛋白胆固醇为3.6(2.3-5.7),男性β-脂蛋白/高密度脂蛋白胆固醇为7.3(3.6-14.6),女性β-脂蛋白/高密度脂蛋白胆固醇为6.0(3.1-11.7)。(4)女性总胆固醇、甘油三酯、β-脂蛋白、总胆固醇/高密度脂蛋白胆固醇和β-脂蛋白/高密度脂蛋白胆固醇的组均值随年龄增长有升高趋势。这些年龄差异具有统计学意义。(5)各年龄组中,女性高密度脂蛋白胆固醇的均值均高于男性。

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