代谢综合征患者餐后三酰甘油与冠状动脉病变程度关系  

Association between postprandial triglyceride and the severity of coronary artery disease in patients with metabolic syndrome

作　　者：黄淑田[1] 杨利国[1] 仝珊[1] 闫文珍[1] 王瑞英[1] 

机构地区：[1]山西医科大学第二医院心内科,太原030001

出　　处：《中国医师进修杂志（内科版）》2009年第5期21-24,共4页Chinese Journal of Postgraduates of Medicine

基　　金：山西省高校科技研究开发项目（200713066）

摘　　要：目的探讨代谢综合征（MS）患者餐后三酰甘油（TG）与冠状动脉病变程度的关系。方法选择住院MS患者91例，分为空腹及餐后4hTG正常（MS1）组31例；空腹TG正常而餐后4hTG增高（NS2）组29例；空腹TG增高（MS3）组31例。检测餐后4hTG及行冠状动脉造影明确冠状动脉病变支数，并分析两者关系。结果冠状动脉病变支数与餐后4hTG呈显著正相关，相关系数为0．42（P〈0．01）。结论在临床工作中应增加对MS患者餐后4hTG的检测以便及时发现血脂代谢紊乱并采取相应干预措施，降低MS患者心血管疾病的发生率和病死率。Objective To investigate the association between postprandial triglyceride and the severity of coronary artery disease in patients with metabolic syndrome （MS）. Methods All of 91 patients with MS were recruited for this study. Thirty-one patients with normal fasting and postprandial triglyceride was in MS1 group, 29 patients with normal fasting triglyceride and postprandial hypertriglyceridemia was in MS2 group, and 31 patients with fasting hypertriglyceridemia was in MS3 group. Blood triglyceride at the time of postprandial 4 hours was measured and the quantity of coronary artery branch disease was determined by coronary angiography. The relationship between them was analyzed. Result There was significant positive correlation between the quantity of coronary artery branch disease and the level of blood triglyceride at the time of postprandial 4 hours （r = 0.42, P 〈 0.01 ）. Conclusions It is important to detect the level of blood triglyceride at the time of postprandial 4 hours. Prompt intervention maybe decrease the incidence and mortality rate of cardiovascular disease in patients with MS.

关 键 词：代谢综合征X 甘油三酯类 饭后期间 冠状动脉疾病 

分 类 号：R541.4[医药卫生—心血管疾病] R589[医药卫生—内科学]