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为探讨老年人血脂与冠心病(CHD)关联程度和老年CHD患者血脂理想水平,将105例老年CHD患者和99例老年非CHD患者的血脂进行分层分析。结果表明老年胆固醇(TC)≥5.47mmol/L与3.85～4.63mmol/L相比,CHD发生OR=2.98(x~2=6.29,95%CI 1.27～6.98)。老年CHD患者54.1%TC≥4.68mmol/L,34.3%甘油三酯(TG)≥11.7 mmol/L,52.3%低密度脂蛋白胆固醇(LDL-C)≥2.6mmol/L。结论:老年CHD患者理想TC水平为3.85～4.63mmol/L。老年CHD患者应强化降脂治疗,以达到目标水平。
In order to investigate the association between serum lipids and coronary heart disease (CHD) and the level of serum lipids in elderly patients with CHD, 105 elderly CHD patients and 99 elderly non-CHD patients were stratified for lipid profile. The results showed that CHD occurred OR = 2.98 (x ~ 2 = 6.29, 95% CI 1.27 ~ 6.98) in CHD ≥5.47mmol / L compared with 3.85 ~ 4.63mmol / L. Elderly patients with CHD 54.1% TC ≥ 4.68mmol / L, 34.3% triglyceride (TG) ≥ 11.7 mmol / L, 52.3% LDL-C ≥ 2.6mmol / L. Conclusion: The ideal level of TC in elderly patients with CHD is 3.85 ~ 4.63mmol / L. Elderly patients with CHD should be lipid-lowering therapy to achieve the desired level.