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目的 探讨脑梗死的发病与血脂、血糖和血尿酸的关系。方法 抽取 2 0 0 1年全年老年人 (>6 0岁 )的住院病例 ,以脑CT或MRI及MRA的检查结果分为脑梗死组和非脑梗死组 ,即对照组。合并有其它脑血管病的病例不在本项研究的入选中。有服用降脂药物的患者 ,停服降脂药物 2周后再检测血液的生化指标。两组病人均采用美国贝克曼全自动生化仪测定血液的生化指标。结果 脑梗死组病人同时合并高血压的发生率显著高于对照组 (P <0 0 5 ) ,两组的胆固醇、甘油三酯、高密度脂蛋白、载脂蛋白A、载脂蛋白B和血尿酸指标无统计学意义的差别 (P >0 0 5 ) ,低密度脂蛋白和血糖有显著性差别 (P <0 0 1和P <0 0 5 )。结论 高血压作为脑梗死的独立危险因素是老年人防治脑梗死的重点内容。降低LDL或提升HDL/LDL比值以及防治胰岛素抵抗对防治老年人的脑梗死有积极的意义
Objective To explore the relationship between the incidence of cerebral infarction and blood lipids, blood glucose and serum uric acid. Methods The hospitalized cases of all-year-old (> 60 years old) from 2001 to 2001 were divided into cerebral infarction group and non-cerebral infarction group by CT or MRI and MRA. Cases with other cerebrovascular diseases are not included in this study. Patients taking lipid-lowering drugs, stop taking lipid-lowering drugs after two weeks and then test the biochemical indicators of blood. Two groups of patients using the United States Beckman automatic biochemical analyzer blood biochemical indicators. Results The incidence of concurrent hypertension in patients with cerebral infarction was significantly higher than that in the control group (P <0.05). The cholesterol, triglyceride, high density lipoprotein, apolipoprotein A, apolipoprotein B and blood There was no significant difference in uric acid index (P> 0.05), and there was a significant difference between low density lipoprotein and blood glucose (P <0.01 and P <0.05). Conclusion Hypertension as an independent risk factor for cerebral infarction is the focus of prevention and treatment of cerebral infarction in the elderly. Reducing LDL or raising the ratio of HDL / LDL and preventing and treating insulin resistance have a positive effect on prevention and treatment of cerebral infarction in the elderly