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目的 了解载脂蛋白 E(apo E)及血清脂类物质检测对脑梗死的诊断作用 .方法 用免疫比浊法和酶法对 6 5例脑梗死患者血清中 apo E及 HDL - C,L DL - C,TG和 TC进行对照观察 .结果 脑梗死患者血清中 apo E,TC,HDL - C,L DL - C明显高于对照组 (P<0 .0 1) .apo E,TC,L DL三项指标联合检测对诊断脑梗死的特异性、阳性预测值可达 10 0 % ,诊断效率 5 7.1% ,敏感性 33.2 % ,避免了假阳性 .结论 血清中 apo E,L DL- C,TC的联合检测对脑梗死有一定诊断价值
Objective To investigate the diagnostic value of apolipoprotein E (apo E) and serum lipids in the diagnosis of cerebral infarction.Methods Serum apo E and HDL - C, L DL TC, HDL - C and L - DL - C in patients with cerebral infarction were significantly higher than those in the control group (P <0.01) .apo E, TC, L DL The combined detection of three indexes has the specificity of diagnosing cerebral infarction, the positive predictive value is up to 100%, the diagnostic efficiency is 51.1% and the sensitivity is 33.2%, avoiding the false positive.Conclusion The serum levels of apo E, L DL-C, TC The joint detection of cerebral infarction have a certain diagnostic value