海洛因依赖行为与血脂水平的研究  

Serum levels of cholesterol,lipoproteins and apolipoproteins in heroin dependence and their significance

作　　者：邱德胜[1] 赵海专[2] 唐全兴 王高华[1] 

机构地区：[1]武汉大学人民医院精神科 [2]武汉大学人民医院检验科 [3]武汉市武昌区公安局戒毒所,湖北武汉430060

出　　处：《中国行为医学科学》2002年第4期390-391,共2页Chinese Journal of Behavioral Medical Science

摘　　要：目的　探讨海洛因依赖者血脂水平及临床意义。方法　采用酶法和免疫比浊法检测 37例海洛因依赖者和 2 0名健康对照者的血清胆固醇 (TC)、甘油三酯 (TG)、高密度脂蛋白 -胆固醇 (HDL C)、低密度脂蛋白 -胆固醇 (LDL C)、脂蛋白(a) (Lp(a) )、载脂蛋白AI(apoAI)和载脂蛋白B(apoB)水平 ,并比较戒断综合征患者 (2 6例 )、非戒断综合征患者 (11例 )、吸食年限超过 5年患者 (2 1例 )和吸食年限少于 5年患者 (16例 )与正常对照组的血脂水平。结果　海洛因依赖组血清TC(4.5±0 .7)mmol/L、HDL C(1.0 8± 0 .36 )mmol/L均低于对照组 (4.9± 0 .8)mmol/L、(1.2 0± 0 .32 )mmol/L ,差异有显著性 (P <0 .0 5 ) ,LP(a) (40 2± 76 )mg/L高于对照组 (2 86± 38)mg/L ,差异有显著性 (P <0 .0 5 )。戒断综合征组血清LP(a) (5 2 0± 86 )mg/L显著高于对照组 (2 86± 38)mg/L ,差异非常显著 (P <0 .0 1)。吸食年限超过 5年组血清TC(3.8± 0 .6 )mmol/L、HDL C(0 .92± 0 .2 8)mmol/L显著低于对照组 (4.9± 0 .8)mmol/L、(1.2 0± 0 .32 )mmol/L ,差异非常显著 (P <0 .0 1)。结论　海洛因依赖者血清TC、HDL C和LP(a)水平存在异常变化 ,低血清TC、HDL C水平可能与依赖者强迫性觅药行为和抑郁情绪有关 ,高血清LP(a)水平可能?Objective The purpose of the study was to explore the serum levels of blood lipid parameters and their significence in heroin dependence. Methods Serum levels of total cholesterol(TC), triglycerides (TG), high density lipoprotein cholesterol (HDL C), Low density lipoprotein cholesterol(LDL C), lipoprotein A (LP(a)), apolipoprotein AI (apoAI) and apolipoprotein B (apoB) were measured in 37 patients with heroin dependence and 20 healthy controls using enzymatic methods and transmission immunoturdimetry.Results Serum TC and HDL C levels were lower in heroin dependence than in healthy controls. Serum LP(a) levels were significantly higher in heroin dependence than in healthy controls. Conclusions These results suggest that depression and obsessive compulsive behavior of heroin dependence is accompanied by lower serum levels of TC and HDL C,and higher serum LP(a) levels may be associated with withdrawal syndrome in heroin dependence.

关 键 词：海洛因依赖 行为 血脂 胆固醇 脂蛋白类 载脂蛋白类 

分 类 号：R749.61[医药卫生—神经病学与精神病学]