摘要
目的：旨在探讨血三脂综合指数（甘油三脂总胆固醇／高密度脂蛋白胆固醇指数，ＴＧＴＣｈ／ＨＤＬ－Ｃ指数）与冠状动脉粥样硬化性心脏病（Ｃｏｒｏｎａｒｙｈｅａｒｔｄｉｓｅａｓｅ，ＣＨＤ）之间的关系。方法：ＣＨＤ患者行选择性冠状动脉造影术，ＴＧ、ＴＣｈ、ＨＤＬ－Ｃ以酶法测定。结果：ＣＨＤ患者血三脂综合指数水平及异常率明显高于对照组（Ｐ＜０．０１）；比值比（ＯＲ值）５．４９。结论：高ＴＧ、ＴＣｈ、低ＨＤＬ－Ｃ的联合作用较单一血脂异常对ＣＨＤ形成具有更大危险性。ＴＧＴＣｈ／ＨＤＬ－Ｃ指数可以做为评估ＣＨＤ风险性的较好指标。
Objective: We were to study the relationship between compositive index of the three serum lipid variables (triglyceride, total cholesterol/highdensity lipoprotein, TGTCh/HDLC) and coronary heart disease (CHD). Methods: TG TCh, and HDLC were obtained in 291 cases undergoing coronary angiography by enzyme method. CHD was present in 173 patients and 118 people were normal served as a control group. Results: BZThe index (TGTCh/HDLC) was significantly higher in CHD group than that in the normal control (P<0.01). Abnormal rate of the index was higher in CHD group than that in the control (39.00%VS 10.37%, p<001, OR=5.49). Multivariate regression analysis revealed that the compositive index was the most powerful variable associated with CHD as compared with TGTCh HDLC LDLC cholesterol rates and TG/HDLC respectively. Conclusion: The combined action of high TG, TCh, and Low HDLC concentration may be a much more dangerous factor in the formation of CHD than single serum lipid abnormality. Thus, TGTCh/HHZ
出处
《中国医科大学学报》
CAS
CSCD
北大核心
1999年第3期203-205,共3页
Journal of China Medical University
关键词
冠心病
甘油三酯
总胆固醇
脂蛋白类
triglyceride
total cholesterol
highdensity lipoprotein
coronary heart diseaseDLC may be a better index in predicting the risk of the formation of CHD.
