心肌梗死、冠心病高危患者血脂综合干预的临床近期效果  

The short-term clinical effects of comprehensive intervention to blood lipids for myocardial infarction Patients and the patients with risk factors of coronary heart disease

作　　者：孙宝玲[1] 陈祥斌[1] 陈巧玲[1] 崔勇[1] 竟雪莹[1] 徐惠芬[1] 张桂珍[1] 

机构地区：[1]安徽省蚌埠市第三人民医院心内科,233000

出　　处：《淮海医药》2000年第3期174-176,共3页Journal of Huaihai Medicine

摘　　要：目的　研究血脂综合干预后心肌梗死、冠心病高危患者近期血脂的波动情况。方法　选择我院１９９７年１月～１９９８年１２月住院病例１１８例，血脂均有不同程度升高。分为Ａ组：急性心肌梗死组，Ｂ组：陈旧性心肌梗死组．Ｃ组：冠心病高危因素组。采用均衡善食，控制体重，戒烟戒酒，服用调脂药物等方法。结果　观察８周，Ａ、Ｂ、Ｃ三组患者ＴＣ、ＴＧ均明显下降，Ｐ＜０．０１。Ａ组ＨＤＬ－Ｃ升高，Ｂ组未达统计学意义，Ｃ组升高更明显，Ｐ＜０．０１～０．０５。结论　通过血脂综合干预，近期血脂下降明显。Objective To investigate the short-term fluctuation of blood lipid for myocardial infarction patients and the patients with high risk factors of coronary heart disease,controlled by comprehensive intervention to hemolipid. Methods 118 subjects with higher blood lipids who hospitalized from Jan. 1997 to Dec. 1998 were selected and divided into three groups. Group A: acute myocardial, infarction, group B: old myocardial infarction and group C:patients with high risk factors to result in coronary heart disease. Result Observing those groups for 8 weeks, TC & TG of the inpatients declined obviously,p<0. 01,HDL-C in group A and C ascended. group C increased more evident,but HDL-C in group B changed nonsignificantly statisticaly(p<0. 01-0. 05). Conclusion Comprehensive intervention to hemolipid results in a distinguishable decline of the hemolipid in the short-term.

关 键 词：血脂 综合干预 心肌梗死 冠心病 

分 类 号：R541.405[医药卫生—心血管疾病] R542.220.5[医药卫生—内科学]