老年陈旧性心肌梗塞患者血脂及脂蛋白测定的意义  

The significance of serum cholesterol, triglyceride, lipoproteins and lipoprotein (a) in elderly coronary heart dis- ease patients

作　　者：孙福成[1] 沈瑾[1] 陈曼丽[1] 周月秀[1] 

机构地区：[1]卫生部北京医院,北京100730

出　　处：《中国心血管杂志》1997年第4期236-237,共2页Chinese Journal of Cardiovascular Medicine

摘　　要：结果:OMI组血清高密度脂蛋白胆固醇(HDL—C)及载脂蛋白A—I(apoA—I)均非常显著地低于对照组(P<O.005及P<O.0005),OMI组载脂蛋白B(apoB)显著高于对照组(P<O.05).血胆固醇(TC)、三酸甘油酯(TG)、低密度脂蛋白胆固醇(LDL—C)及 LP(a)在两组间均无显著差异.OMI组血LP(a)>300mg/L者显著多于对照组(24.6%与11.4%,P<O.05).结论:老年陈旧性心肌梗死患者血清HDL—C,apoA—I显著降别低.而apoB增加.血清LP(a)>300mg/L在冠心病中起一定作用.Results:The serum levels of HDL - C and apoA - I were significantly lower in CHD patients than that in healthy control (P<0. 005 and P<0. 0005). In contrast, the serum apoB was significantly higher in CHD group than that in healthy control (P<0. 05). There were no significant difference for TC, TG, LDL -C and LP(a) between two groups, but there were more CHD patients with serum LP(a) higher than 300mg/L than that in the healthy control (22. 2% vs 11. 8%,P<0. 05). Conclusion:Low serum HDL -C 、apoA -I and high serum apoB were observed in elderly patients with history of old myocardial infarction in this study. Serum LP(a) more than 300mg/L may be a risk factor for CHD in the elderly

关 键 词：老年 陈旧性心肌梗塞 血脂 脂蛋白 测定 载脂蛋白 冠心病 

分 类 号：R542.22[医药卫生—心血管疾病]