Hulanicka K, Piechocki D W, Guzowski K
Neurol Neurochir Pol. 1981 Jul-Aug;15(4):459-67.
In 195 patients with strokes the authors determined in the fourth week of the disease the levels of cholesterol, total lipids, beta-lipoproteins, esterified fatty acids and triglycerides. This study demonstrated that the group of strokes was not homogeneous. Lipid metabolism disturbances were found in 52% of the patients, and in 48% the values of lipids were normal, that is below the critical level. The greatest lipid metabolism changes were observed in 65 patients (33%), and in this group the level of at least one of the determined lipids exceeded greatly the critical value. The authors believe that this group comprised subjects with primary or secondary hyperlipidaemia (according to the criteria of Fredricksen). Analysing the group of strokes as a whole (patients with and without lipid metabolism disturbances) it was demonstrated that the greatest number of patients had raised cholesterol level - 34%, followed by total lipid level - 31%, triglyceride level - 27%, esterified fatty acids - 24%, beta-lipoproteins - 21%.
作者测定了195例中风患者在疾病第四周时的胆固醇、总脂质、β-脂蛋白、酯化脂肪酸和甘油三酯水平。该研究表明,中风患者群体并非同质。52%的患者存在脂质代谢紊乱,48%的患者脂质值正常,即低于临界水平。在65例患者(33%)中观察到最大的脂质代谢变化,在该组中,至少一种测定脂质的水平大大超过临界值。作者认为,该组包括原发性或继发性高脂血症患者(根据弗雷德里克森标准)。分析整个中风患者群体(有和没有脂质代谢紊乱的患者)表明,胆固醇水平升高的患者数量最多——34%,其次是总脂质水平——31%,甘油三酯水平——27%,酯化脂肪酸——24%,β-脂蛋白——21%。