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Ⅱ型糖尿病伴发冠心病患者血清脂质与丙二醛变化的临床观察

Changes of Serum Lipids and Malondialdehyde in Patient with Type Ⅱ Diabetes Mellitus and CHD
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摘要 观察了40例Ⅱ型糖尿病(NIDDM)伴发冠心病(CHD)患者及32例NIDDM无心脑肾并发症患者(对照组)血脂水平及丙二醛(MDA)和超氧化物歧化酶(SOD)的血清含量,结果显示,除胆固醇外,其余各指标两组间均有显著差异。CHD组MDA明显高于对照组,而SOD则明显低于对照组。多元线性相关分析表明,低密度脂蛋白胆固醇与MDA呈显著正相关(r=0.5712;P<0.001)。高密度脂蛋白胆固醇与SOD呈显著正相关((r=0.5112;P<0.001)。提示NIDDM患者伴发冠心病高脂血症与脂质过氧化间有一定的关系。 The levels of serum lipoprotein(a) Lp(a) ,apolipoprotein A 1(Apo A 1),apolipoprotein B(Apo B),high density lipoprotein cholesterol(HDL c),lower density lipoprotein cholesterol(LDL c),total cholesterol(TC),triglyceride(TG),malondialdehyde(MDA),and superoxide dismutase(SOD) were measured in 40 cases of type Ⅱ diabetes mellitus non insulin dependent diabetes mellitus(NIDDM) accompanied with coronary heart disease(CHD) and 32 NIDDM patients without lheart,brain and kidney complications as control.The results showed that there were significant differences between two groups in all the indices except TC.Lp(a),Apo B,LDL c,and MDA were higher,Apo A 1,HDL c,and SOD were lower in CHD NIDDM group than in the controls( P<0 05 or P <0.01).Multiple correlation analysis revealed that the levels of LDL c correlated significantly with the level of MDA( r=0.5712,P<0.001 ).The level of HDL c correlated significantly with serum SOD activity( r=0 5112,P<0 001). It suggested that hyperlipemia was related to lipids peroxidation in NIDDM patients accompany with CHD.
作者 李妮
机构地区 广西区人民医院
出处 《中国慢性病预防与控制》 CAS 1997年第4期157-158,177,共3页 Chinese Journal of Prevention and Control of Chronic Diseases
关键词 糖尿病 冠心病 血清脂质 丙二醛 NIDDM\ Coronary heart disease\ Serum lipids\ Malondialdehyde
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