血脂因素与缺血性进展型卒中关系的研究  

Study on the relationship of blood lipid factors and progressive ischemic stroke

作　　者：张良 尹亚东 郑锐锋[3] 

机构地区：[1]河南省南召县中医院脑病科,河南南召474650 [2]河南省舞阳县人民医院中医科,河南舞阳462400 [3]河南省洛阳市中心医院神经内科,河南洛阳471009

出　　处：《中国现代医生》2013年第22期148-150,共3页China Modern Doctor

基　　金：河南省洛阳市科技进步二等奖(2007061-10)

摘　　要：目的探讨缺血性卒中的进展与入院时的血脂水平,包括甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)水平的关系。方法观察缺血性卒中入选住院病人427例。依据本研究制定的进展型卒中标准,确定进展型病例136例为进展组,非进展型病例291例为对照组。检测血脂TC、TG、LDL、HDL入院时水平,统计分析以上各项与缺血性进展型卒中的关系。结果入院时HDL水平的组间差异有极显著统计学意义(P<0.01);TC水平的组间差异有显著统计学意义(P<0.05);而TG、LDL水平的组间差异,没有统计学意义(P>0.05)。结论缺血性卒中的进展与入院时TC、HDL水平密切相关,而与TG、LDL的水平无明显关系。Objective To investigate the relationship of progress of stroke and blood lipid levels,which include totalcholesterol （TC）, triglyceride （TG）, low density lipoprotein （LDL） and high -density lipoprotein （HDL） on admission.Methods Analyzed the data of 427 cases of hospitalized patients with ischemic stroke. Based on the SIP criteria, 136cases belonged to the progress group,while 291 cases belonged to the control group,recorded the level of TC,TG,LDLand HDL on admission, statistical analyzed relationship of progressive ischemic stroke and levels of TC,TG,LDL andHDL. Results The levels of HDL and TC between the two groups were significant different （P 〈 0.01 or P 〈 0.05）;andthe levels of TG, LDL between the two groups were not significant different （P 〉 0.05）. Conclusion There are closerelationship between levels of TC, HDL and progress of ischemic stroke,but there are no obvious relationship betweenlevels of TG, LDL and progress of ischemic stroke.

关 键 词：卒中 缺血性 进展型 血脂 

分 类 号：R743.3[医药卫生—神经病学与精神病学]