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目的分析缺血性脑血管病(ICVD)患者的血脂水平,为今后预防保健及康复干预决策的制定提供依据。方法在佛山市第一人民医院病案数据库中检索1991—2004年诊断为 ICVD的病例共2886例,其中2000—2004年 ICVD 患者共1430例为一亚组,以我院同时期保健科随机选取的400名健康体检人群为对照组,记录血脂情况,进行对照分析。结果血 TC、TG 和 LDL-C 水平ICVD 患者组明显高于健康体检人群,差异有统计学意义。男女两性血脂水平均随年龄增加而逐渐增高,50岁以上女性血脂水平明显高于同龄组男性。血脂代谢异常患病率随着年代的推移呈逐步上升趋势,总胆固醇从1991—1994年的24.5%到2001—2004年的38.1%(男性)和22.3%到38.5%(女性),且明显高于国内2000—2001年普查人群高脂血症的患病率。结论佛山地区血脂异常是ICVD 的重要原因之一。
Objective To analyze the level of blood lipids in patients with ischemic cerebrovascular disease (ICVD), and to provide basis for the future decision-making on prevention of health and rehabilitation. Methods A total of 2886 cases diagnosed as ICVD from 1991 to 2004 were searched in the First People’s Hospital of Foshan City. A total of 1430 ICVD patients from 2000 to 2004 were selected as a subgroup. 400 healthy people as the control group, record the situation of blood lipids, the control analysis. Results The levels of TC, TG and LDL-C in ICVD patients were significantly higher than those in healthy people, the difference was statistically significant. Blood lipid levels of both sexes increased gradually with age, and blood lipid levels of women over 50 years old were significantly higher than those of the same age group. The prevalence of dyslipidemia increased gradually with the passage of time. Total cholesterol was significantly higher from 24.5% in 1991-1994 to 38.1% (male) and 22.3% to 38.5% (female) in 2001-2004, and significantly higher Prevalence of hyperlipidemia among census population in China during 2000-2001. Conclusion Dyslipidemia in Foshan is one of the important causes of ICVD.