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引用本文:张丽娟,马路一,孙国华,吕璘琳.��������Ӧ����³˾�غ�Ѫ�������ϩ�仯�۲�[J].中国实用儿科杂志,2011,26(3):221.
作者姓名:张丽娟  马路一  孙国华  吕璘琳
作者单位:1. ?й???????????????С?????????????????????????????ж????????????????110001??2. ?й???????????????????110001
摘    要:目的探讨单纯性肥胖儿童血浆同型半胱氨酸(HCY)、血脂的变化及其与心脑血管疾病的关系,为儿童单纯性肥胖及成年期心脑血管疾病的防治提供新的思路。方法收集2008年12月至2009年12月大连医科大学附属第一医院34例单纯性肥胖患儿及25例同期健康体检儿童,利用彩色多普勒超声探查肝脏形态结构;同时取禁食12h以上的静脉血,检测血浆HCY、血浆总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-Ch)、低密度脂蛋白(LDL-Ch)及血浆脂蛋白(α)LP(α)]。结果肥胖组18例出现肝脏形态改变,对照组中仅1例;肥胖组血浆TC、TG、LDL-Ch明显高于对照组,差异有统计学意义(P均<0.05);HDL-Ch、LP(α)与对照组比较,差异无统计学意义(P>0.05);肥胖组血浆HCY为(10.91±2.57)μmol/L,对照组为(5.13±1.12)μmol/L,前者较后者明显增高(P<0.05);血浆HCY与血脂水平间无明显相关性。结论单纯性肥胖儿童较健康儿童更易患有脂肪肝或脂肪肝倾向,其发生与患儿脂质代谢异常密切相关;单纯性肥胖儿童血浆HCY明显增高,且HCY与血脂水平无相关性,是心脑血管疾病的独立危险...

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Study of the change of plasma HCY and serum lipid and their correlation in obese children
ZHANG Li-juan,MA Lu-yi,SUN Guo-hua,LV Lin-lin.Study of the change of plasma HCY and serum lipid and their correlation in obese children[J].Chinese Journal of Practical Pediatrics,2011,26(3):221.
Authors:ZHANG Li-juan  MA Lu-yi  SUN Guo-hua  LV Lin-lin
Institution:*Department of Pediatrics??First Affiliated Hospital of Dalian Medical University??Dalian 116011??China
Abstract:Objective To study the changes of plasma homocysteine,serum lipid in simple obese children,and the relations between plasma homocysteine,serum lipid and cardiovascular and cerebrovascular diseases,and to provide a new path to prevent and cure the simple obesity in children and cardiovascular and cerebrovascular diseases in adulthood.Methods Thirty-four cases of simple obese children were collected in the First Affiliated Hospital of Dalian Medical University from December 2008 to December 2009,25 cases of h...
Keywords:simple obesity  homocysteine  blood lipid  fatty liver  
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