| 血脂及载脂蛋白水平对冠心病的诊断价值 |
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| 引用本文： | 王治,黄进,戴剑,曹恒献,汤涌,陆治平,吴晓馗,丁畅,王林林,王倩.血脂及载脂蛋白水平对冠心病的诊断价值[J].江苏医药,2011,37(4). |
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| 作者姓名： | 王治 黄进 戴剑 曹恒献 汤涌 陆治平 吴晓馗 丁畅 王林林 王倩 |
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| 作者单位： | 南京市胸科医院心血管病科,210029 |
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| 摘 要： | 目的探讨冠心病患者血脂及载脂蛋白水平对冠心病的诊断价值。方法冠状动脉造影阳性的患者为冠心病组(A组,80例);其中,单支病变亚组36例(A1组),多支病变亚组44例(A2组)。冠状动脉造影阴性的患者为对照组(C组,75例)。测定各组血清总胆固醇(TC)、低密度脂蛋白-胆固醇(LDL-C)、高密度脂蛋白-胆固醇(HDL-C)、甘油三酯(TG)、脂蛋白a(Lpa)、载脂蛋白AI(ApoAI)、载脂蛋白B(ApoB),计算ApoB与ApoAI的比值(ApoB/ApoAI)。结果 A组ApoB水平和ApoB/ApoAI比值均高于C组(0.74±0.18)g/L vs.(0.66±0.16)g/L和(0.67±0.19)vs.(0.60±0.19)](P<0.05)。A2组LDL-C水平高于A1组(3.05±0.84)mmol/L vs.(2.55±0.75)mmol/L](P<0.05)。结论 ApoB水平及ApoB/ApoAI比值对于冠心病的诊断具有一定的临床意义;LDL-C水平对于判断冠脉病变的范围则有一定的价值。
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| 关 键 词： | 冠心病 载脂蛋白 |
The value of serum lipid profiles in evaluation of coronary heart disease |
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| WANG Zhi,HUANG Jin,DAI Jian,et al..The value of serum lipid profiles in evaluation of coronary heart disease[J].Jiangsu Medical Journal,2011,37(4). |
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| Authors: | WANG Zhi HUANG Jin DAI Jian |
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| Institution: | WANG Zhi,HUANG Jin,DAI Jian,et al.Department of Cardiology,Nanjing Chest Hospital,Nanjing 210029,CHINA |
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| Abstract: | Objective To investigate the value of serum lipid profiles in evaluation of coronary heart disease(CHD).Methods Reported by coronary angiography,115 patients were divided into without CHD(group C,75 cases) and with CHD(group A,80 cases),of whom 36 cases with single-vessel disease(group A1) and 44 cases with multiple-vessel disease(group A2).Serum total cholesterol(TC),low-density lipoproteins(LDL-C),high-density lipoproteins(HDL-C),triglycerides(TG),lipoprotein a(Lpa),apolipoprotein AI(ApoAI) and apolipopro... |
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| Keywords: | Coronary heart disease Apolipoproteins |
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