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本文测定了２３例急性胰腺炎（ＡＰ）患者和２３例健康对照组的血清甘油三酯（ＴＧ）与胆固醇（ＴＣ）、高密度脂蛋白胆固醇（ＨＤＬ－Ｃ）、低密度脂蛋白胆固醇（ＬＤＬ－Ｃ）、极低密度脂蛋白胆固醇（ＶＬＤＬ－Ｃ）和载脂蛋白（Ａｐｏｓ）ＡⅠ、Ｂ１００、ＣⅡ、ＣⅢ。结果表明与对照组比较，ＡＰ患者的ＴＧ（Ｐ＜０．０１）、ＬＤＬ－Ｃ（Ｐ＜０．０５）和ＡｐｏＢ１００（Ｐ＜０．０１）明显增高；与治疗前相比较，ＡＰ患者用大承气汤为基本方的中西医结合治疗措施治疗后的ＴＧ、ＬＤＬ－Ｃ和ＡｐｏＢ１００未能降低（Ｐ＞０．０５）。提示ＡＰ患者存在脂质和Ａｐｏｓ的异常，特点是高ＴＧ及ＬＤＬ－Ｃ增高，ＡｐｏＢ１００明显增高。
In this study, serum triglyceride (TG), cholesterol (TC), high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL) were measured in 23 patients with acute pancreatitis (AP) and 23 healthy controls -C), very low density lipoprotein cholesterol (VLDL-C) and apolipoproteins AⅠ, B100, CⅡ, CⅢ. The results showed that compared with the control group, AP patients had significantly higher TG (P <0.01), LDL-C (P <0.05) and ApoB100 (P <0.01) TG, LDL-C and ApoB100 failed to decrease after treatment with Dachengqi Decoction as the basic prescription (P> 0.05). Tip AP patients with lipid and Apos abnormalities, characterized by high TG and LDL-C increased, ApoB100 was significantly higher.