论文部分内容阅读
目的探讨糖尿病及非糖尿病患者急性心肌梗死早期血脂水平变化。方法回顾性分析336例急性心肌梗死患者的临床资料,根据是否合并糖尿病分为糖尿病组94例,非糖尿病组242例。比较两组血脂水平。结果糖尿病组载脂蛋白A(Apo-A)(1.0±0.2)g/L,非糖尿病组Apo-A(1.3±0.3)g/L,糖尿病组Apo-A显著低于非糖尿病组(P<0.05)。两组左主干支、左前降支、左回旋支、右冠状动脉支狭窄积分差异无统计学意义(P>0.05)。结论糖尿病患者Apo-A水平低于非糖尿病患者。两组患者白细胞水平均显著升高提示急性心肌梗死患者在急性期存在炎症反应,这可能与患者甘油三酯(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)水平下降有关。
Objective To investigate the changes of blood lipid levels in early stage of acute myocardial infarction in diabetic and non-diabetic patients. Methods A retrospective analysis of 336 patients with acute myocardial infarction clinical data, divided into diabetes mellitus according to whether the 94 cases of diabetic patients, 242 cases of non-diabetic patients. Blood lipid levels were compared between the two groups. Results Apo-A (1.0 ± 0.2) g / L, Apo-A (1.3 ± 0.3) g / L in diabetic group and Apo-A in diabetic group were significantly lower than those in non-diabetic group (P < 0.05). The left main branch, left anterior descending branch, left circumflex branch and right coronary artery stenosis score had no significant difference (P> 0.05). Conclusion The level of Apo-A in diabetic patients is lower than that in non-diabetic patients. Both groups of patients with leukocyte levels were significantly elevated prompted acute myocardial infarction in patients with acute inflammatory response, which may be related to patients with triglyceride (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C) levels decreased related.