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中老年人轻度肾功能减退与血脂异常
引用本文:万槐斌,唐良秋,周婉明.中老年人轻度肾功能减退与血脂异常[J].实用老年医学,2011,25(4):327-329.
作者姓名:万槐斌  唐良秋  周婉明
作者单位:粤北人民医院心血管内科,广东省韶关市,512026
摘    要:目的 探讨中老年人轻度肾功能减退者的血脂特征。方法将266例中老年人按照估测肾小球滤过率(eGFR)水平分为正常、轻度降低和中度降低3组;方差分析各组之间血脂以及相关生化指标的差异;多变量协方差分析校正年龄对肾功能和血脂的影响。结果3组中低密度脂蛋白胆固醇(LDL—C)在eGFR正常组最低(P〈0.05),高密度脂蛋白胆固醇(HDL—C)在eGFR正常组最高(P〈0.01)。载脂蛋白A(ApoA)在eGFR中度降低组比轻度降低组显著降低(1.14±0.25)g/L比(1.30±0.26)g/L,P〈0.01]。结论轻度肾功能减退中老年人存在血脂代谢异常,以HDL—C和ApoA降低、LDL—C升高为主要表现;血脂异常可能与肾功能减退的进展和不良预后有关。

关 键 词:肾功能不全  血脂  老年人

Mild renal insufficiency and dyslipidemia in middle and old age patients
WAN Huai-bin,TANG Liang-qiu,ZHOU Wan-ming.Mild renal insufficiency and dyslipidemia in middle and old age patients[J].Practical Geriatrics,2011,25(4):327-329.
Authors:WAN Huai-bin  TANG Liang-qiu  ZHOU Wan-ming
Institution:WAN Huai-bin,TANG Liang-qiu,ZHOU Wan-ming.Department of Cardiology,Yuebei People's Hospital,Shaoguan 512026,China
Abstract:Objective To explore the characteristic of serum lipid in middle and old age patients with mild renal insufficiency.Methods 266 cases,aged 45-75 years,were divided into 3 groups according to eGFR,and their serum lipid profile and related factors were analyzed.Influence of age on renal function parameters and serum lipid profile were adjusted by ANCOVA.Results Among the three groups,the level of LDL-C in the normal eGFR group was lower and the level of HDL-C was higher than that in the other two groups(P<0.0...
Keywords:renal insufficiency  lipids  aged  
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