总胆固醇与高密度脂蛋白胆固醇比值同肩袖撕裂的相关性  

Correlation Between Total Cholesterol to High-Density Lipoprotein Cholesterol Ratio and Rotator Cuff Tear

作　　者：汪青[1] 钱胤华 黄昊强 徐锋[1] 孙斌峰[1] Wang Qing;Qian Yinhua;Huang Haoqiang;Xu Feng;Sun Binfeng(Department of Orthopaedics,Kunshan Hospital of Traditional Chinese Medicine,Kunshan 215300,China)

机构地区：[1]昆山市中医医院骨科,江苏昆山215300

出　　处：《实用骨科杂志》2024年第2期125-128,共4页Journal of Practical Orthopaedics

基　　金：苏州市临床重点病种诊疗技术专项项目(LCZX202127);昆山市中医药科技发展专项(KZYY2202)。

摘　　要：目的 探讨总胆固醇与高密度脂蛋白胆固醇比值同肩袖撕裂发生的相关性。方法 选取2018年1月至2023年6月期间在昆山市中医医院骨科住院行肩关节镜手术治疗的患者797例,其中男259例,女538例;年龄40~79岁,平均(58.86±8.73)岁。按照是否存在肩袖撕裂分为肩袖撕裂组559例及非肩袖撕裂组238例。收集患者基本信息及实验室检查结果,使用多因素Logistics回归分析探讨总胆固醇与高密度脂蛋白胆固醇比值同肩袖撕裂发生的相关性。结果 肩袖撕裂组的年龄、空腹血糖、中性粒细胞、总胆固醇与高密度脂蛋白比值高于非肩袖撕裂组。肩袖撕裂组的血红蛋白、高密度脂蛋白、血清镁及血清磷水平低于非肩袖撕裂组。多因素Logistic回归分析结果表明,总胆固醇与高密度脂蛋白比值同肩袖撕裂的发生有关。肩袖撕裂的患病率在总胆固醇与高密度脂蛋白比值四个四分位呈升高的趋势(21.65%、24.15%、25.76%及28.44%)。结论 血脂异常与肩袖撕裂具有相关性,总胆固醇与高密度脂蛋白比值越高,肩袖撕裂发生的风险越大。Objective To investigate the correlation between the ratio of total cholesterol to high-density lipoprotein cholesterol and rotator cuff tear.Methods From January 2018 to June 2023,797 patients hospitalized in the department of orthopedics of Kunshan Traditional Chinese Medicine Hospital who underwent shoulder arthroscopy surgery were selected.There were 259 males and 538 females.The age ranged from 40 to 79 years,with an average age of(58.86±8.73) years.They were divided into 559 cases of rotator cuff tear group and 238 cases of non rotator cuff tear group according to whether there was rotator cuff tear.We collected the basic information of patients and laboratory test results,and used multivariate logistic regression analysis to explore the correlation between the ratio of total cholesterol/high-density lipoprotein cholesterol and rotator cuff tear.Results The age,fasting blood sugar,neutrophils,total cholesterol and high-density lipoprotein ratio in rotator cuff tear group were higher than those in non rotator cuff tear group.The levels of hemoglobin,high-density lipoprotein,serum magnesium and serum phosphorus in the rotator cuff tear group were lower than those in the non rotator cuff tear group.Multivariate logistic regression analysis showed that the total cholesterol/high-density lipoprotein ratio was related to the occurrence of rotator cuff tear.The prevalence of rotator cuff tear showed an upward trend in the four quartiles of total cholesterol/high-density lipoprotein ratio(21.65%,24.15%,25.76% and 28.44%).Conclusion There is a correlation between Dyslipidemia and rotator cuff tear.With the increase of the total cholesterol/high-density lipoprotein ratio,the risk of rotator cuff tear increase.

关 键 词：肩袖撕裂 总胆固醇 高密度脂蛋白胆固醇 高脂血症 相关性 

分 类 号：R684[医药卫生—骨科学]