腰椎间盘突出症患者血脂水平的临床观察  

Blood lipid level of patients with lumbar disc herniation： clinical observation of 1681 cases

作　　者：姜丽[1] 乔延国[1] 司一民[1] 何玉宝[2] 

机构地区：[1]中国人民武装警察部队总医院南二科,北京100039 [2]北京市垂杨柳医院骨科

出　　处：《中国急救复苏与灾害医学杂志》2013年第2期126-128,共3页China Journal of Emergency Resuscitation and Disaster Medicine

摘　　要：目的研究腰椎间盘突出症患者血脂水平，探讨高脂血水平与腰椎间盘疾病之间的关系。方法168例经医学影像学和手术确诊的腰椎间盘突出症患者分为2组，一组为81例接受腰椎间盘手术（腰椎间盘组1，另一组为87例因其他骨科病接受其他手术（对照组）。手术前空腹采集静脉血，测定总胆固醇（Tc）和总甘油三酯（TG）水平。结果两组患者临床特征没有统计学差异，腰椎间盘组总胆固醇（5．414±1．3）mmol／L，甘油三酯（1．65±1．12）mmol／L，均显著高于对照组[分别为（5．22±1．02）mmol／L和（1．53±0．93）mmo1/L，P=0．041和P=0．037。结论血脂水平也许与腰椎间盘疾患发生有关，控制血脂水平可能有助于阻止或者延缓腰椎间盘疾患发展。Objective TO observe serum lipid level of the lumbar disc herniation patients, so as to investigate the relationship between serum lipid levels and lumbar disc disease. Methods 168 patients with lumbar disc herniation confirmed by medical imaging and operation were divided into 2 not significantly different groups demographically： lumbar intervertebral disk operation group （n=81） and control group （n=87, undergoing another operations because of other orthopedic diseases）. Fasting blood samples were collected to examine the serum levels of total cholesterol （TC） and triglyceride （TG）.Results The TC and TG levels of the lumbar intervertebral disk operation group were （5.41± 1：3） mmol/L and（1.65±1.12） mmol/L respectively, both significantly higher than those of the control group [（5.22±1.02）mmol/L and （1.53±0.93） mmol/L respectively, both P = 0.041 and P =0.037]. Conclusion Serum lipid le~;el may be a risk factor for lumbar intervertebral disk pathology. Control of the serum lipid level may help prevent and/or delay this pathological procedure.

关 键 词：腰椎间盘突出症 血脂 总胆固醇 总甘油三酯 

分 类 号：R681.5[医药卫生—骨科学]