摘要
目的探讨老年冠心病合并高血压患者血脂变化的特点及意义。方法随机取100例CDH合并高血压的患者(观察组)及100例单纯CDH患者(对照组),采用酶法测定其血清TC、TG、HDL-c、apoB、Lp(a),采用直接法测定血清LDL-c、apoAl,并对检测结果进行比较分析。结果观察组血清TC、TG、LDL-c、apoB、Lp(a)水平均明显高于对照组(P<0.01或0.05),血清HDL-c低于对照组(P<0.05);观察组血清TC、TG、LDL-c、HDL-c、apoB异常检出率高于对照组(P<0.01或0.05)。结论临床上在诊治高血压患者尤其是老年高血压患者时,应常规检测其血脂水平,以决定降压药物的选择,降脂药物的应用,降低CHD的发生率及死亡率。
Objective To explore the changes in lipid levels in elderly patients with coronary heart disease（CHD） and hypertension.Methods 100 cases of elderly patients with CHD and hypertension were randomly chosen to form the observation group and 100 randomly chosen elderly patients with CHD formed the contrast group.Enzyme determination methods were used to detect the levels of TC,TG,HDL-c,apoB and Lp（a） and direct detections of TC,TG、HDL-c,apoB and Lp（a） levels were performed,and the results were compared.Results The levels of TC,TG,HDL-c,apoB and Lp（a） were found much higher in the observation group than those in the contrast group（P0.01 or P0.05）,while the HDL-c level much lower in the observation group（P0.05）.The detected abnormal rate in terms of TC,TG,LDL-c,HDL-c and apoB were much higher in the observation group than those in the contrast group（P0.01 or P0.05）.Conclusion Regular examination of blood lipid level in elderly patients with hypertension should be chosen and drugs should be used to reduce lipid level so as to reduce the death rate of CHD patients.
出处
《山东医学高等专科学校学报》
2011年第4期273-274,278,共3页
Journal of Shandong Medical College
关键词
老年人
高血压
冠心病
The elderly
Hypertension
Coronary heart disease
