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目的 :探讨急性脑卒中与血脂变化的关系。方法 :用自动生化分析仪测定脑梗死 3 2例、脑出血 3 6例患者的血脂 ,并与健康人 3 0例作比较。结果 :脑梗死组与对照组相比 ,血总胆固醇、甘油三酯、低密度脂蛋白、载脂蛋白 B显著增高 (P<0 .0 1 ) ,高密度脂蛋白和载脂蛋白 A明显降低 (P<0 .0 1 ,P<0 .0 5 )。脑出血组与对照组相比 ,低密度脂蛋白及载脂蛋白 B明显增高 (P<0 .0 1 ,P<0 .0 5 ) ,总胆固醇、甘油三酯、高密度脂蛋白和载脂蛋白 A无显著性差异 (P>0 .0 5 )。结论 :脂质代谢紊乱是脑梗死患者的危险因素之一 ,脑出血患者存在部分脂质代谢障碍。
Objective: To investigate the relationship between acute stroke and blood lipid changes. Methods: The blood lipid of 32 patients with cerebral infarction and 36 patients with cerebral hemorrhage was measured by automatic biochemical analyzer, and compared with 30 healthy subjects. Results: Compared with the control group, blood total cholesterol, triglyceride, low density lipoprotein and apolipoprotein B in cerebral infarction group were significantly increased (P <0.01), while high density lipoprotein and apolipoprotein A were significantly lower (P <0. 01, P <0. 05). Compared with the control group, the levels of low density lipoprotein and apolipoprotein B in cerebral hemorrhage group were significantly higher (P <0.01, P <0.05), total cholesterol, triglyceride, high density lipoprotein Protein A no significant difference (P> 0.05). Conclusion: The disorder of lipid metabolism is one of the risk factors in patients with cerebral infarction. Some patients with cerebral hemorrhage have some dyslipidemia.