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目的 研究肾移植患者的血脂变化。方法 对上海市 8家医院 174例肾移植的资料进行调查分析。结果 与正常对照组相比 ,肾移植患者术前血胆固醇 (Tch)、低密度脂蛋白胆固醇(LDL ch)显著增高 ,血甘油三酯 (TG)、高密度脂蛋白胆固醇 (HDL ch)、极低密度脂蛋白胆固醇(VLDL ch)与正常对照组的差异无显著性 ;载脂蛋白A1(ApoA1)及卵磷脂胆固醇酰基转移酶(LCAT)均低于正常对照组 ,脂蛋白 (a) [Lp(a) ]的水平显著高于正常对照组 ;肾移植患者手术前后上述各指标的变化不显著。结论 肾移植患者脂质紊乱相当常见 ,应高度重视
Objective To study the changes of blood lipids in renal transplant recipients. Methods The data of 174 renal transplantations in 8 hospitals in Shanghai were investigated. Results Compared with the control group, the preoperative blood cholesterol (Tch) and low density lipoprotein cholesterol (LDL ch) in patients with kidney transplantation were significantly higher than those in the normal control group. The levels of triglyceride (TG), high density lipoprotein cholesterol (HDL ch) There was no significant difference between low density lipoprotein cholesterol (VLDL ch) and normal control group; ApoA1 and LCAT were lower than those of normal control group, and lipoprotein (a) [Lp (a)] levels were significantly higher than the normal control group; renal transplant patients before and after the above-mentioned changes in the index was not significant. Conclusion Lipid disorders in patients with kidney transplantation are quite common, should be highly valued