脂代谢紊乱与颈动脉粥样硬化的关系  

Relationship between lipid disorders and carotid artery atherosclerosis

作　　者：吴晓虹[1] 张曙云[1] 俞小忠[1] 

机构地区：[1]南京军区杭州疗养院,浙江杭州310007

出　　处：《现代中西医结合杂志》2010年第17期2096-2097,共2页Modern Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的研究颈动脉粥样硬化与脂代谢紊乱的关系。方法选择372例来我院疗养的军队在职和离退休干部,分别检测身高、体质量(BMI)、血压及血脂、血糖等生化指标,用全自动动脉硬化检测仪测定脉搏波传导速度(PWV)值,应用彩色多普勒超声技术检测颈总动脉内膜厚度(IMT)值。结果双高组的IMT、PWV和斑块发生率均高于正常组,高胆固醇组与正常组比较差异不明显,高三酰甘油组的PWV高于正常组。结论三酰甘油和胆固醇同时升高是动脉粥样硬化的危险因素,血脂代谢紊乱能加速动脉粥样硬化的发生和发展。Objective It is to study the relationship between carotid artery atherosclerosis and lipid disorders.Methods 372 cases of legionary cadres on the job and leave the office were convalesced in our sanatorium and chosen.The body height,body mass index（BMI）,blood pressure,blood lipids and plasma glucose were detected respectively.Pulse wave velocity（PWV） was detected with auto arterial stiffness analyzer.Carotid intimal thickness（IMT） was measured with color Doppler ultrasound.Results IMT,PWV and plaque incidence rate in both high group were all higher than that in normal group.There was no significant difference between high cholesterol group and normal group.PWV in high triglyceride group was higher than that in control group.Conclusion Triglyceride and cholesterol heightening at the same time are the risk factors of atherosclerosis.Blood lipid disorders can accelerate the occurrence and development of atherosclerosis.

关 键 词：颈动脉 动脉粥样硬化 三酰甘油 胆固醇 

分 类 号：R589.2[医药卫生—内分泌]