对９０例脑梗塞和９０例脑溢血患者以及１０７例对照者的血脂、脂蛋白和载脂蛋白水平进行测定。结果发现脑梗塞病人ＴＣ，ＬＤＬＣ，Ｌｐ（ａ）水平较对照组高，而ＨＤＬＣ及ＡｐｏＡＩ较对照组低。脑溢血病人ＴＣ，ＬＤＬＣ及Ｌｐ（ａ）水平较对照组显著降低。多因素条件ｌｏｇｉｓｔｉｃ回归分析发现吸烟、高血压、脑卒中家族史为两型脑卒中共同危险因素，Ｌｐ（ａ）为缺血型脑卒中的独立危险因素，低ＴＣ为出血型脑卒中的独立危险因素。 Serum lipids, lipoproteins and apolipoproteins were measured in 90 patients with cerebral infarction, 90 patients with cerebral hemorrhage and 107 controls. The results showed that patients with cerebral infarction TC, LDL C, Lp (a) levels higher than the control group, while HDL C and ApoAI lower than the control group. Cerebral hemorrhage patients TC, LDL C and Lp (a) levels were significantly lower than the control group. Multivariate conditional logistic regression analysis found that smoking, hypertension and family history of stroke were common risk factors for both types of stroke, Lp (a) was an independent risk factor for ischemic stroke, and low TC was independent risk for hemorrhagic stroke factor.