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[献血者血液中胆固醇值升高的筛查]

[Screening for increased cholesterol values in blood donors].

作者信息

Dengler T, Kasulke D, Oehmig R, Kellner S, Fürst G

机构信息

DRK-Blutspendezentrale Baden-Baden, Deutschland.

出版信息

Infusionsther Transfusionsmed. 1995 Aug;22(4):226-31.

PMID:7496121
Abstract

OBJECTIVE

In a pilot study blood donors were screened on HDL, LDL, and total cholesterol. The practicability and significance of such a screening in a blood bank should be tested.

DESIGN

For this purpose, current methods to determine HDL, LDL, and total cholesterol were adapted on microtiter plates and validated. In a period of about 4 weeks all blood donors were tested for the three cholesterol parameters.

SETTING

Red Cross blood bank in Baden-Baden, Germany with about 150,000 donations per year.

PARTICIPANTS

The HDL, LDL, and total cholesterol results of 10,006 blood donors could be evaluated.

INTERVENTIONS

None.

RESULTS

The mean total cholesterol was 192 +/- 36 mg/dl, the mean HDL cholesterol 56 +/- 15 mg/dl, and a mean LDL cholesterol of 123 +/- 39 mg/dl was found. The known age-dependency of the measured cholesterol fractions could be confirmed in our blood donor population. According to the current recommendations, more than 20% of the tested blood donors need a therapy.

CONCLUSIONS

The study shows that the screening of blood donors for increased total cholesterol for prevention of coronary heart disease could be done with a minimum of costs.

摘要

目的

在一项试点研究中,对献血者进行高密度脂蛋白(HDL)、低密度脂蛋白(LDL)和总胆固醇筛查。应测试这种筛查在血库中的实用性和意义。

设计

为此,将当前测定HDL、LDL和总胆固醇的方法应用于微量滴定板并进行验证。在约4周的时间内,对所有献血者进行这三项胆固醇参数的检测。

地点

德国巴登-巴登的红十字血库,每年约有15万次献血。

参与者

10006名献血者的HDL、LDL和总胆固醇结果可进行评估。

干预措施

无。

结果

测得总胆固醇平均为192±36mg/dl,HDL胆固醇平均为56±15mg/dl,LDL胆固醇平均为123±39mg/dl。在我们的献血者群体中可以证实所测胆固醇组分存在已知的年龄依赖性。根据当前建议,超过20%的受测献血者需要治疗。

结论

该研究表明,以最低成本对献血者进行总胆固醇升高筛查以预防冠心病是可行的。

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