基础医学与临床 ›› 2018, Vol. 38 ›› Issue (11): 1558-1562.

• 研究论文 • 上一篇    下一篇

血清高密度脂蛋白不同组分与冠状动脉病变的相关性研究

李丽君1,王晶2,穆洋2,徐勇2   

  1. 1. 解放军总医院
    2. 中国人民解放军总医院 心内科
  • 收稿日期:2018-08-15 修回日期:2018-09-18 出版日期:2018-11-05 发布日期:2018-11-22
  • 通讯作者: 李丽君 E-mail:lilij2008@126.com

Association between components of serum high density lipoprotein and coronary heart disease

  • Received:2018-08-15 Revised:2018-09-18 Online:2018-11-05 Published:2018-11-22
  • Contact: Li-Jun LI E-mail:lilij2008@126.com

摘要: 目的 观察高密度脂蛋白胆固醇(HDL-C) 及载脂蛋白A-I水平与冠状动脉病变之间的关系。方法 入选208例接受冠脉造影的患者,应用酶比色法检测血浆ApoA-I和HDL-C含量以及其他与冠心病相关的指标,同时根据冠脉病变支数和Gesini评分对这些患者的冠脉病变程度进行定性和定量分析。比较冠心病组和非冠心病组患者HDL-C和ApoA-I水平及相关指标的差异。采用Logistic和多重回归的方法分析影响冠脉病变发生和病变程度的因素。结果 冠心病组患者血浆ApoA-I和HDL-C水平显著低于对照组(P <0.05);ApoA-I水平与CHD发生负相关(P <0.015);ApoA-I水平与CHD病变程度负相关(P <0.05)。结论 ApoA-I,而非HDL-C与CHD发生及病变程度显著负相关。

关键词: 高密度脂蛋白胆固醇, 载脂蛋白AI, 冠心病

Abstract: Objective To investigate the association between HDL and CHD. Methods Two hundred and eight consecutive patients who underwent angiography were took part in this study. Plasma ApoA-I and HDL-C were measured in all patients. Angiography analysis included number of lesions and gensini score as qualitative and quantitaive measurements. Clinical and HDL level were compared between patients with CHD and patients without CHD. Logistic regression analysis was used to assess independent predictors for presence of CHD and CHD extent. Results The concentrations of plasma ApoA-I(P <0.015)were significantly lower in the CHD group than non-CHD group. The concentation of ApoA-I was found to be significant predictors of presence of CHD(P <0.015). The concentrations of ApoA-I decresead with the increase on vascular damage(P <0.015). Conclusions The concentration of ApoA-I is independent negative related with the presence of CHD and CHD extent.

Key words: high density lipoprotein, Apolipoprotein A-I, coronary heart disease

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