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[激素避孕对血清脂蛋白的影响]

[Influence of hormonal contraception on serum lipoproteins].

作者信息

Pometta D, Micheli H

出版信息

Schweiz Med Wochenschr. 1978 Dec 16;108(50):2012-5.

PMID:734426
Abstract

Cholesterol and triglyceride measurements in lipoproteins (VLDL, LDL, HDL) separated by preparative ultracentrifugation showed that women aged 20 to 29 using oral hormonal contraceptives had increased LDL triglycerides without significant changes in serum lipids. Among older women (aged 30 to 39), changes induced by hormonal contraception were more pronounced. Triglycerides were increased in VLDL and LDL, with a significant rise in serum triglycerides. The LDL cholesterol was elevated without significant changes in serum cholesterol. None of the women had overt hyperlipoproteinemia. Routine serum cholesterol and triglyceride measurements may not reveal the changes in cholesterol and triglyceride lipoprotein content which may play a role in the increased incidence of cardiovascular disease among women using the "pill".

摘要

通过制备性超速离心分离脂蛋白(极低密度脂蛋白、低密度脂蛋白、高密度脂蛋白)后进行胆固醇和甘油三酯测量,结果显示,20至29岁使用口服激素避孕药的女性,其低密度脂蛋白甘油三酯升高,而血脂无显著变化。在年龄较大的女性(30至39岁)中,激素避孕引起的变化更为明显。极低密度脂蛋白和低密度脂蛋白中的甘油三酯增加,血清甘油三酯显著升高。低密度脂蛋白胆固醇升高,血清胆固醇无显著变化。这些女性均无明显的高脂蛋白血症。常规血清胆固醇和甘油三酯测量可能无法揭示胆固醇和甘油三酯脂蛋白含量的变化,而这些变化可能在使用“避孕药”的女性心血管疾病发病率增加中起作用。

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