脑梗死与脑出血患者血脂对比研究

目的研究脑梗死和脑出血的血脂水平差异。方法对183例脑梗死患者、同期住院的45例脑出血患者及150例对照组分别测定其总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)和极低密度脂蛋白(VLDL),并进行比较分析。结果脑梗死组的TC、TG、LDL较对照组增高(P<0.05、P<0.05、P<0.01),HDL较对照组低(P<0.05);脑出血组HDL亦较对照组低(P<0.05),但同脑梗死相比较,TC、LDL显著降低(P<0.01)。结论高TC、TG、LDL及低HDL水平是脑梗死发病的危险因素,相反低TC、LDL水平则可能存在脑出血倾向。

Difference of blood lipid in patients with cerebral infraction and cerebral hemorrhage

Objective To explore the difference of serum lipid in patients with cerebral infraction and cerebral hemorrhage.Methods Total cholesterol(TC),triglyceride(TG),high density lipoprotein cholesterol(HDL),low density lipoprotein cholesterol(LDL) and very low density lipoprotein cholesterol(VLDL) were measured in three groups,183 patients with acute cerebral infarction,45 patients with cerebral hemorrhage and 150 normal control subjects.Compare the level of lipid in these groups.Results The levels of TC,TG and LDL were significantly higher and the levels of the HDL was significantly lower in patients with cerebral infarction than those in the controls.There were the lower levels of TC and LDL in patients with cerebral hemorrhage than those with cerebral infarction.Conclusion Higher levels of TC,TG,LDL and lower levels of HDL are the risk factors for cerebral infarction,but lower levels of TC and LDL may be the risk factors for cerebral hemorrhage.