论文部分内容阅读
目的分析血脂水平异常对缺血性脑卒中的影响。方法将119例患者依据病情分组,对照组59例为同期住院无缺血性脑卒中的患者,观察组60例为缺血性脑卒中患者,检测两组患者的血脂水平,包括总胆固醇(TC)、高密度脂蛋白(HDL)、三酰甘油(TG)、低密度脂蛋白(LDL)、载脂蛋白-A1(Apo-A1)、载脂蛋白B(ApoB)以及脂蛋白(a)[Lp(a)],并进行对比分析。结果观察组HDL低于对照组,TC/HDL高于对照组,差异有统计学意义(P<0.05);观察组TC、TG、Apo-A1以及Lp(a)低于对照组,ApoB、LDL高于对照组,差异未见统计学意义(P>0.05)。结论高密度脂蛋白水平及总胆固醇/高密度脂蛋白比值均属于缺血性脑卒中患者的独立危险因素,临床上应根据患者的血脂水平,给予针对性预防及治疗,以降低缺血性脑卒中的发生率。
Objective To analyze the effect of abnormal blood lipid levels on ischemic stroke. Methods One hundred and ninety-nine patients were divided into two groups based on the disease group. Fifty-nine patients in the control group were hospitalized without ischemic stroke in the same period. The observation group included 60 patients with ischemic stroke. The levels of total cholesterol HDL, TG, LDL, Apo-A1, ApoB, and lipoprotein (a) Lp (a)], and comparative analysis. Results The HDL in the observation group was lower than that in the control group, TC / HDL was higher than that in the control group, the difference was statistically significant (P <0.05); TC, TG, Apo-A1 and Lp Higher than the control group, the difference was not statistically significant (P> 0.05). Conclusion High density lipoprotein and total cholesterol / high density lipoprotein ratio are independent risk factors for patients with ischemic stroke. Clinic should be based on the level of blood lipids in patients with targeted prevention and treatment to reduce ischemic brain The incidence of stroke.