| 血脂与脑梗死患者颈动脉粥样硬化的关系 |
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| 引用本文： | 吴学兵,王琦,王宏,孙文化,钱雅琴,张欢,牛继华. 血脂与脑梗死患者颈动脉粥样硬化的关系[J]. 上海医学检验杂志, 2009, 0(1) |
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| 作者姓名： | 吴学兵 王琦 王宏 孙文化 钱雅琴 张欢 牛继华 |
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| 作者单位： | 上海市松江区中心医院检验科;上海市松江区中心医院B超室; |
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| 摘 要： | 目的了解血脂与脑梗死患者颈动脉粥样硬化的关系。方法对344例脑梗死疑似患者进行三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、载脂蛋白A-I(apo A-I)、载脂蛋白B(apo B)、脂蛋白(a)[Lp(a)]检测,同时用计算机断层扫描(CT)、B超检测颈动脉病变。结果344例脑梗死疑似患者中有303例经临床及CT检查诊断为脑梗死,其余41例作为对照组。303例确诊患者中颈动脉管壁内膜-中层厚度(IMT)>0.9 mm或有斑块者206例,占68.0%;其余97例无病变,占32.0%。脑梗死患者LDL-C水平无论有无颈动脉病变均高于对照组(P<0.05)。无脑梗死的颈动脉粥样硬化患者apoA-I水平低于对照组(P<0.05)。结论LDL-C、apo A-I是发生脑梗死和颈动脉硬化病变重要的危险因素和诊疗的观察指标,B超检测颈动脉粥样硬化再结合血脂检查,对于脑血管疾病的预防、早期诊断、指导治疗以及观察疗效具有一定的临床价值。
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| 关 键 词： | 血脂 脑梗死 颈动脉粥样硬化 |
The relationship of the blood lipid and the carotid atherosclerosis of patients with cerebral infarction |
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| WU Xuebing,WANG Qi,WANG Hong,SUN Wenhua,QIAN Yaqin,ZHANG Huan,NIU Jihua.. The relationship of the blood lipid and the carotid atherosclerosis of patients with cerebral infarction[J]. Shanghai Journal of Medical Laboratory Sciences, 2009, 0(1) |
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| Authors: | WU Xuebing WANG Qi WANG Hong SUN Wenhua QIAN Yaqin ZHANG Huan NIU Jihua. |
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| Affiliation: | 1.Department of Clinical Laboratory;Shanghai Songjiang District Center Hospital;Shanghai 201600;China;2.B-Ultrasonography Section;China |
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| Abstract: | Objective To explore the relationship between the blood lipid and the carotid atherosclerosis in the patients with cerebral infarction.Methods The levels of triglycerides(TG),total cholesterol(TC),high density lipoprotein-cholesterol(HDL-C),low density lipoprotein-cholesterol(LDL-C),apolipoprotein A-I(apo A-I),apolipoprotein B(apo B),lipoprotein(a) in 344 patients with suspect cerebral infarction were determined and the carotid atherosclerosis was detected by computed tomography(CT)and B-ultrasonographic im... |
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| Keywords: | Blood lipid Cerebral infarction Carotid atherosclerosis |
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