老年人血清胆固醇、低密度脂蛋白、高密度脂蛋白与复发性脑梗死关系的研究

目的探讨老年人高密度脂蛋白(HDL-L)、低密度脂蛋白(LDL-C)、血清胆固醇(TC)水平与复发性脑梗死的关系。方法选择我院2009年5月至2011年5月收治的复发性脑梗死老年患者80例,并与同期收治的初发脑梗死78例患者和健康人群80例高危因素相关指标进行对比分析。结果与健康组比较,复发、初发脑梗死组患者血清TC、LDL-C水平均呈较高水平,其中复发组给高于初发组,差异均有统计学意义(P<0.05);初发、复发脑梗死组HDL-C水平差异无统计学意义(P>0.05),但与健康组HDL-C比较,两组均呈较低水平,差异有统计学意义(P<0.05)。结论针对重要危险因素进行控制和治疗,是对疾病进行预防的关键,可降低复发率,提高患者的生存质量。

Study on the Correlation between TC,LDL-C,HDL-C and Recurrent Cerebral Infarction in the Elderly

Objective To explore the correlation of high-density lipoprotein(HDL-L),low density lipoprotein(LDL-C),serum cholesterol(TC)levels and recurrence of cerebral infarction in the elderly.Methods 80 cases of recurrent cerebral infarction admitted to our hospital from May 2009 to May 2011 were selected,the high-risk indexes of which were compared with 78 cases of the first onset of cerebral infarction admitted to the hospital and 80 healthy people of the same period.Results Compared with healthy group,serum TC,LDL-C level of first-onset and recurrent cerebral infarction group showed a higher level,and the recurrent group was higher than the first-onset group with statistically significant difference(P<0.05);difference of HDL-C between the first-onset group and recurrent group was not statistically significant(P>0.05),but were both lower than the healthy group with statistically significant difference(P<0.05).Conclusion Control and treatment aimed at important risk factor is the key to the prevention of disease,which can reduce relapse rates and improve quality of life.