体检人群血脂水平与动脉粥样硬化的关系探究  

Relationship between Blood Lipid Level and Atherosclerosis in Physical Examination Population

作　　者：李艳[1] 张宝琴[1] 吕丽敏 Li Yan;Zhang Baoqin;Lv Limin(Jiaozuo People's Hospital,Jiaozuo 454001)

机构地区：[1]焦作市人民医院,焦作454001

出　　处：《数理医药学杂志》2021年第11期1723-1724,共2页Journal of Mathematical Medicine

基　　金：2020年河南省医学科技攻关计划联合共建项目资助(基金编号:LHGJ20200688)。

摘　　要：目的:分析体检人群血脂水平与颈动脉、冠状动脉粥样硬化的关系,并探讨针对性的血脂控制护理干预措施。方法:以于某院行健康体检的300例体检者为研究对象,所有体检者均开展血脂检测和颈动脉、冠状动CTA检查。根据血脂指标将300例体检者分为血脂正常组120例、血脂边缘性升高组133例、高血脂组47例,对比3组体检者的颈动脉粥样硬化程度(血管狭窄程度)和冠状动脉粥样硬化程度(Gensini评分、AIP指数)。结果:在颈动脉血管中度狭窄率、重度狭窄及闭塞率上,高血脂组>血脂边缘性升高组>血脂正常组(P<0.05);在Gensini评分和AIP指数上,高血脂组>血脂边缘性升高组>血脂正常组(P<0.05)。结论:体检人群血脂水平越高,颈动脉、冠状动脉粥样硬化程度越重,在日常护理中应通过饮食、运动及药物干预等方法的综合应用提高血脂控制水平。Objective:To analyze the relationship between blood lipid level and carotid artery,coronary atherosclerosis in physical examination population,and to explore the targeted nursing intervention measures for blood lipid control.Methods:A total of 300 healthy subjects who underwent physical examination in a hospital were selected as the study subjects.Blood lipid detection and CTA examination of carotid artery and coronary artery were carried out in all subjects.According to blood lipid index,300 subjects were divided into normal blood lipid group(120 cases),borderline elevated blood lipid group(133 cases)and hyperlipemia group(47 cases).The degree of carotid atherosclerosis(degree of vascular stenosis)and coronary atherosclerosis(Gensini score,AIP index)were compared among the three groups.Results:The rates of moderate stenosis,severe stenosis and occlusion of carotid artery were as follows:high blood lipid group>borderline elevated blood lipid group>normal blood lipid group(P<0.05).The Gensini score and AIP index showed that the hyperlipidemia group>borderline elevated blood lipid group>normal lipid group(P<0.05).Conclusion:The higher the level of blood lipid,the more severe the degree of atherosclerosis of carotid artery and coronary artery.In daily care,the blood lipid control level should be improved through the comprehensive application of diet,exercise and drug intervention.

关 键 词：血脂 动脉粥样硬化 动脉狭窄 血脂控制护理 

分 类 号：R743.3[医药卫生—神经病学与精神病学]