摘要
目的 探讨急性脑梗塞时载脂蛋白Ｂ与病情严重程度的预后关系。方法 对住院的急性脑梗塞患者３８７例进行分析，其中按脑梗塞严重程度分成轻、中、重三组，而对血脂和ａｐｏＡ１、ａｐｏＢ的含量进行分组对照；按入院时ａｐｏＢ高低分甲、乙、丙三组进行分析。结果 急性脑梗塞患者中有高血压病、冠心病史者占７５．１９％ ，ＴＧ和ａｐｏＢ水平在重型脑梗塞患者中明显高于中型、轻型，两者比较有非常显著性差异（Ｐ＜ ０．０１）；入院时ａｐｏＢ水平愈高，病情愈重，病死率愈高（Ｐ＜ ０．０１）。结论 载脂蛋白Ｂ水平升高是急性脑梗塞预后不良的危险因素之一。
Objective To investigate the relationship between apoB and the severity and prognosis of ACI.Methods 387 patients were divided into three groups(slight,middle and severe groups).The blood lipid,apoA1,apoB in three groups were measured and compared with each other.Results of all patients 75.19% with history of hypertension and coronary heart disease.The levels of triglyceride(TG)and apolipoprotein(apoB)in severe group were significantly higher than those in slight and middle group( P <0 01).The higher the level of apoB was,the worse the prognosis was and the greater the mortality was.( P <0 01)Conclusion Increased apoB level is one of risk factors in predicting the prognosis of ACI.[
出处
《临床内科杂志》
CAS
2000年第1期29-30,共2页
Journal of Clinical Internal Medicine
关键词
脑梗塞
载脂蛋白B
预后
Cerebral infarction
ApoB
Prognosis
