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血清载脂蛋白B、载脂蛋白B载/脂蛋白A1值与冠状动脉病变的相关性分析
引用本文:冯燕娴,石增刚,汤凤英,桑更生. 血清载脂蛋白B、载脂蛋白B载/脂蛋白A1值与冠状动脉病变的相关性分析[J]. 东南大学学报(医学版), 2011, 30(4): 577-580. DOI: 10.3969/j.issn.1671-6264.2011.04.012
作者姓名:冯燕娴  石增刚  汤凤英  桑更生
作者单位:东南大学医学院附属蚌埠市第三人民医院,心内科,安徽,蚌埠,233000
基金项目:蚌埠市科技局2009年科技项目
摘    要:目的:研究血清载脂蛋白B(ApoB)、载脂蛋白B载/脂蛋白A1(ApoB/ApoA1)值与冠脉粥样硬化病变及其严重程度的关系。方法:500例行冠脉造影检查的住院患者根据冠脉造影结果分为冠心病组(CHD组,206例)和对照组(294例),比较血清ApoB、ApoB/ApoA1值在两组中的变化,分析ApoB、ApoB/ApoA1值与颈动脉内中膜厚度(IMT)、冠脉病变支数及狭窄严重程度的相关性。结果:CHD组血清ApoB[(1.02±0.25)vs(0.86±0.22).gL-1,P<0.05]和ApoB/ApoA1值(0.94±0.50vs0.78±0.21,P<0.05)显著高于对照组;ApoB(r=0.46,P<0.01)、ApoB/ApoA1值(r=0.52,P<0.01)与IMT呈显著正相关,与冠脉病变支数(ApoB:r=0.29,P<0.05;ApoB/ApoA1:r=0.42,P<0.01)及狭窄程度(ApoB:r=0.32,P<0.01;ApoB/ApoA1:r=0.38,P<0.01)亦呈显著正相关。结论:ApoB、ApoB/ApoA1值与冠心病发病及冠脉病变程度密切相关,反映了动脉粥样硬化的程度。

关 键 词:血清载脂蛋白B  血清载脂蛋白A1  冠状动脉粥样硬化  颈动脉内中膜厚度

Correlation of serum ApoB level and ApoB/ApoA1 ratio with coronary artery atherosclerotic lesion
FENG Yan-xian,SHI Zeng-gang,TANG Feng-ying,SANG Geng-sheng. Correlation of serum ApoB level and ApoB/ApoA1 ratio with coronary artery atherosclerotic lesion[J]. Journal of Southeast Univ: Medical Sci Ed, 2011, 30(4): 577-580. DOI: 10.3969/j.issn.1671-6264.2011.04.012
Authors:FENG Yan-xian  SHI Zeng-gang  TANG Feng-ying  SANG Geng-sheng
Affiliation:FENG Yan-xian,SHI Zeng-gang,TANG Feng-ying,SANG Geng-sheng(Department of Cardiology,Bengbu Third People's Hospital,School of Medicine,Southeast University,Bengbu 233000,China)
Abstract:Objective: To investigate the correlation of serum apolipoprotion B(ApoB) levels and apolipoprotion B/apolipoprotion A1(ApoB/ApoA1) ratio with coronary heart disease(CHD).Methods: A total of 500 hospitalized patients were divided into CHD group(n=206) and control group(n=294),according to the results of coronary angiography(CAG).The changes of serum ApoB levels and ApoB/ApoA1 ratios were investigated between CHD and the control group.Correlation and regression analysis were applied to find the correlation b...
Keywords:serum apolipoprotein B  serum apolipoprotein A1  coronary artery antheroclerosis  carotid intima-media thinckness  
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