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目的 探讨急性心肌梗死患者入院 2 4h内的血脂水平与急性期死亡率的关系 ;死亡率与年龄、性别的关系。方法 对 165例急性心肌梗死患者入院 2 4h的血清总胆固醇 (TC)、高密度脂蛋白 (HDL -C)、甘油三脂 (TG)进行测定 ,用Friede wald公式计算出低密度脂蛋白 (LDL -C)。结果 165例急性心肌梗死患者中 3 0天的总死亡率为 2 5 %,死亡组与存活组的LDL -C经统计学处理 ,差异有非常显著性 (P <0 0 1)。结论 高的LDL -C可作为急性心肌梗死患者急性期死亡预后因素之一 ;急性期女性死亡率高于男性 ;死亡率随着年龄增长而增加
Objective To investigate the relationship between the level of blood lipid and acute phase mortality in patients with acute myocardial infarction within 24 hours after admission. The relationship between mortality and age and sex was also explored. Methods The levels of total cholesterol (TC), high density lipoprotein (HDL-C) and triglyceride (TG) in 165 acute myocardial infarction patients admitted to hospital for 24 hours were measured. The Friede wald formula was used to calculate the levels of low density lipoprotein -C). Results The overall mortality rate of 30 days in 165 patients with acute myocardial infarction was 25%. The LDL-C of the dead and survivors was statistically significant (P <0.01). Conclusions High LDL-C may be one of the prognostic factors of acute death in patients with acute myocardial infarction. The mortality of women in acute stage is higher than that of men, and the mortality rate increases with age