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目的探讨血脂水平与冠心病、脑卒中的相关性。方法选择301例重症医学科住院患者,分为非冠心病+非脑卒中组(n=158)、单纯冠心病组(n=62)、单纯脑卒中组(n=57)、冠心病+脑卒中组(n=24),分析4组间血清低密度脂蛋白(low density lipoprotein,LDL)、高密度脂蛋白(high density lipoprotein,HDL)、总胆固醇(total cholesterol,TC)、甘油三脂(triglycerides,TG)共4项指标入院值、最大值差异。结果①非冠心病+非脑卒中组和单纯脑卒中组入院时TC、最大TC、最大HDL、入院时LDL、最大LDL差异具有统计学意义(P<0.05)。②非冠心病+非脑卒中组和单纯冠心病组TG最大、最大HDL、入院时LDL、最大LDL差异具有统计学意义(P<0.05)。③非冠心病+非脑卒中组和冠心病+脑卒中组入院时TC、最大TC、TG入院、入院时LDL、最大LDL、最大HDL异常、入院时TC异常、最大TC异常、最大LDL异常方面差异具有统计学意义(P<0.05)。④单纯冠心病组和冠心病+脑卒中组在最大TC异常、TG最大异常方面差异具有统计学意义(P<0.05)。结论 LDL、HDL与冠心病、脑卒中有关,TG与冠心病有关,TC与脑卒中有关,在存在冠心病的基础上TG与脑卒中有关。
Objective To investigate the correlation between blood lipid levels and coronary heart disease and stroke. Methods A total of 301 inpatients with severe medical department were enrolled and divided into non-coronary heart disease group (n = 158), simple coronary heart disease group (n = 62), simple stroke group (n = 57) Stroke group (n = 24). The levels of serum low density lipoprotein (LDL), high density lipoprotein (HDL), total cholesterol (TC), triglyceride triglycerides, TG) a total of four indicators of admission values, the maximum difference. Results ① The TC, maximum TC, maximum HDL, LDL and LDL at admission were significantly different between non-CHD group and non-stroke group and stroke group (P <0.05). (2) The difference of TG, max HDL, admission LDL and maximal LDL between non-CHD + non-stroke group and CHD group was statistically significant (P <0.05). TC, TC, TG at hospital admission, LDL at admission, maximal LDL, maximal HDL abnormality, TC abnormality at admission, maximal TC abnormality and maximal LDL abnormality in non-coronary heart disease + non-stroke group and coronary heart disease + stroke group The difference was statistically significant (P <0.05). ④ The difference of maximum TC abnormality and maximum TG abnormality in simple coronary heart disease group and coronary heart disease + stroke group was statistically significant (P <0.05). Conclusion LDL, HDL and coronary heart disease, stroke, TG and coronary heart disease, TC and stroke, in the presence of coronary heart disease based on TG and stroke.