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血清载脂蛋白B与冠脉病变程度的相关性研究
引用本文:冯燕娴,汤凤英,石增刚,桑更生.血清载脂蛋白B与冠脉病变程度的相关性研究[J].实用全科医学,2011(9):1340-1342.
作者姓名:冯燕娴  汤凤英  石增刚  桑更生
作者单位:安徽省蚌埠市第三人民医院心内科;
基金项目:安徽省蚌埠市科技局2009年科技项目[2009(68)号]
摘    要:目的探讨血清载脂蛋白B(ApoB)水平与颈动脉斑块、冠状动脉粥样病变及其严重程度的关系。方法248例行冠脉造影检查的住院患者根据冠脉造影结果分为单支病变组(59例)、多支病变组(107例)和对照组(82例),比较血清ApoB水平在各组中的变化,分析血清ApoB水平与颈动脉斑块、冠脉狭窄严重程度的相关性。结果①冠心病单支病变组血清ApoB(1.09±0.25g/Lvs0.69±0.18g/L,P〈0.05)和多支病变组血清ApoB(1.99±0.11g/Lvs0.69±0.18g/L,P〈0.01)显著高于对照组,且多支病变组血清ApoB水平较单支病变组差异有统计学意义(1.09±0.25g/L vs1.99±0.11g/L,P〈0.05);②冠心病单支病变组和多支病变组颈动脉易损斑块的发生率(20.3%、23.4%VS7.3%,P〈0.05)与对照组相比明显增高;③血清ApoB水平与冠心病颈动脉易损斑块发生率(r=0.482,P〈0.05)呈显著正相关,与冠脉积分(r=0.563,P〈0.05)亦呈显著正相关。结论血清ApoB水平反映了动脉粥样硬化的程度,与冠脉病变严重程度密切相关。

关 键 词:载脂蛋白B  颈动脉斑块  冠状动脉病变程度

Correlation between Apolipoprotein B and Severity of Coronary Artery Stenosis
FENG Yan-xian,TANG Feng-ying,SHI Zeng-gang,et al..Correlation between Apolipoprotein B and Severity of Coronary Artery Stenosis[J].Applied Journal Of General Practice,2011(9):1340-1342.
Authors:FENG Yan-xian  TANG Feng-ying  SHI Zeng-gang  
Institution:FENG Yan-xian,TANG Feng-ying,SHI Zeng-gang,et al.Department of Cardiology,Bengbu Third People's Hospital,Bengbu 233000,Anhui,China
Abstract:Objective To investigate the correlation between apolipoprotein B(ApoB) and carotid artery plaque,the extent and severity of coronary artery lesion.Methods Two hundred and forty-eight patients underwent coronary angiography(CAG) were enrolled.The patients were divided into three groups by the results of CAG:control group(n=82),single-vessel group(n=59) and multi-vessel group(n=107).Plasma ApoB were measured in every patients,while the characters of carotid artery plaque were investigated by ultrasound.The r...
Keywords:Apolipoprotein B  Carotid artery plaque  Coronary artery stenosis  
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