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不同年龄与性别之间高血压病患者血脂特点 被引量:18

Characteristics of blood fat of hypertensive patients in different age periods and of different sexes
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摘要 目的分析不同年龄与性别之间高血压病患者血脂特点,为高血压病患者的防治提供依据.方法629例高血压患者按入院时年龄大小分为5组A组61例,≤50岁;B组82例,51~60岁;C组221例,61~70岁;D组214例,71~80岁;E组51例,≥81岁.每组按性别分为男、女组,分析各组之间男女患者血脂特点.结果①胆固醇(TC)和低密度脂蛋白胆固醇(LDL-C)的水平均表现为随年龄的增加先增加后下降的表现,每组血脂水平又均表现为女性高于男性,血脂水平高峰男性在51~60岁组,女性在61~70岁组.②甘油三酯(TG)和载脂蛋白B(apoB)的水平均表现为先低然后很快增高,之后逐渐下降,在60岁以前的每组均表现为男性高于女性,60岁以后同样表现为女性高于男性,血脂水平高峰同样男性在51~60岁之间,女性在61~70岁之间.③高密度脂蛋白胆固醇(HDL-C)和载脂蛋白A(apoA)总体变化不大,但在61~70岁组男性最低,女性最高,每组血脂水平同样表现为女性高于男性.④将全部高血压患者按男女两组之分,均表现为每个血脂水平女性高于男性.结论高血压病患者的血脂水平按年龄、性别及血脂成分表现有多样性.总的表现为血脂水平女性高于男性;男性在51~60岁最高,女性在61~70岁最高;高峰水平女性较男性晚约10a. AIM: To analyze the characteristics of blood fat of hypertensive patients in different age periods and of different sexes and to provide reference for the prevention and treatment of high blood pressure. METHODS: Hypertensive patients ( n = 629) were divided into 5 groups according to their ages at entering the hospital: Group A with 61 patients ( ≤50 years), Group B with 82 patients (51 -60 years), Group C with 221 patients (61 -70 years), Group D with 214 patients (71 -80 years), and Group E with 51 patients ( ≥81 years). Each group was further divided into male group and female group, and blood fat levels were analyzed between males and females. RESULTS: ① The levels of cholesterol (TC) and low-density lipoprotein cholesterol (LDL- C) went respectively up then down with the aging. The blood fat level was higher among females than males in each group. The male patient's blood fat peak level appeared in Group B (51 -60 years) and the female patient's appeared in Group C (61 -70 years).② The levels of triglyceride (TG) and apolipoprotein B (apo B ) were at first low and went up quickly and then down slowly. The levels were higher among males than females in Group A ( ≤50 years) and B (50 -60 years), but were higher among females than males in Group C (61 -70 years), D (71 -80 years) and E ( ≥81 years). The male patient's blood fat peak level also appeared in Group B (51 -60 years)and the female patient's appeared in Group C(61 -70 years). ③The levels of high-density lipoprotein cholesterol(HDL-C) and apolipoprotein A (apo A) changed little. Group C(61 - 70 years) had the male patient's lowest blood fat level and the female patient's blood fat peak level. The blood fat level was higher among females than males in each group. ④When all of the patients were divided into male group and female group, the blood fat level was higher among females than males. CONCLUSION: The blood fat level of hypertensive patients shows variety according to different age, sexes, and components of blood fat. Generally, the blood fat level was higher among females than males. The peak level of males appears between 51 and 60 years and that of females appears between 61 and 70 years. The peak is 10 years later among females than males.
出处 《第四军医大学学报》 北大核心 2006年第19期1782-1785,共4页 Journal of the Fourth Military Medical University
关键词 高血压 血脂 年龄 性别 hypertension blood lipid age sex
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