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目的 探讨急性心肌梗死 (AMI)患者发病 2 4h之内的血脂水平及与年龄、性别、吸烟、高血压病、糖尿病的关系。方法 对 12 0例AMI患者入院时的总胆固醇 (TC)、低密度脂蛋白 胆固醇(LDL C)、高密度脂蛋白 胆固醇 (HDL C)、血清甘油三酯 (TG)进行测定 ,并根据患者年龄、性别 ,是否吸烟、有无合并糖尿病、高血压病进行分组 ,比较各组间的血脂。结果 急性心肌梗死发病 2 4小时之内TC >5 72mmol/L和 /或LDL C >3 6 4mmol/L者占 31 6 7% ,TC在 (4 6 8～ 5 72 )mmol/L和 (或 )LDL C(2 6 0～ 3 6 4)mmol/L之间者占 48 33% ;单纯TG >1 70mmol/L者 5例 ,单纯HDL C <0 91mmol/L者 3例 ,单纯高TG合并低HDL C者占 2例 (TC及LDL C正常 ) ;总计为 78 33%。结论 在急性心肌梗死发病 2 4h之内 ,可以发现血脂异常。在男性和女性、高血压病和非高血压病、糖尿病和非糖尿病、吸烟组和非吸烟组患者之间血脂差异有显著性。
Objective To investigate the relationship between serum lipids and age, sex, smoking, hypertension and diabetes in patients with acute myocardial infarction (AMI) within 24 hours. Methods Total cholesterol (TC), low density lipoprotein cholesterol (LDL C), high density lipoprotein cholesterol (HDL C), and serum triglyceride (TG) were measured at admission on 120 patients with AMI. According to the patient’s age , Sex, whether smoking, with or without diabetes mellitus, hypertension were divided into groups, comparing the blood lipid among the groups. Results Twenty-four hours after onset of acute myocardial infarction, TC> 5 72 mmol / L and / or LDL C> 364 mmol / L accounted for 31 6 7% and TC was (468-572) mmol / L and ) LDL C (26 0 ~ 364) mmol / L accounted for 48 33%; simple TG> 1 70mmol / L in 5 cases, simple HDL C <0 91mmol / L in 3 cases, simple high TG combined Low HDL C accounted for 2 cases (TC and LDL C normal); a total of 78 33%. Conclusion Within 24 hours after the onset of acute myocardial infarction, dyslipidemia can be found. There was a significant difference in blood lipids between men and women, hypertensive and non-hypertensive, diabetic and non-diabetic, and smokers and non-smokers.