文章摘要
周芸羽 吴敏 梁毓源 叶张章 陈明华.早发冠脉三支病变患者血清ox-LDL、ApoB及ApoB/A1 水平变化及临床意义[J].,2016,16(10):1940-1942
早发冠脉三支病变患者血清ox-LDL、ApoB及ApoB/A1 水平变化及临床意义
Patients with Early Three Coronary Lesions: Changes and ClinicalSignificance of Serumox-LDL, ApoB and ApoB/A1
  
DOI:
中文关键词: 冠脉病变  氧化低密度脂蛋白  载脂蛋白  临床意义
英文关键词: Coronary lesions  Oxidized low density lipoprotein  Apolipoprotein  Clinical significance
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作者单位
周芸羽 吴敏 梁毓源 叶张章 陈明华 海南省琼海市人民医院心内科 
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中文摘要:
      目的:研究早发冠脉三支病变患者血清氧化低密度脂蛋白(ox-LDL)、载脂蛋白B(ApoB)、载脂蛋白A1(ApoA1)及ApoB/A1 水平变化及临床意义。方法:选取2014 年3 月2015 年3 月我院收治的以心绞痛症状就诊患者185 例,根据冠脉造影将患者分为 研究组(早发冠脉三支病变103 例)和对照组(冠脉正常82 例),比较两组ox-LDL、ApoB、ApoA1 及ApoB/A1 水平,分析其与早发 冠脉三支病变的关系。结果:研究组ox-LDL、ApoB 及ApoB/A1 水平显著高于对照组,两组比较差异具有统计学意义(P<0.05), 两组ApoA1 水平比较无统计学意义(P>0.05);Logistic 回归分析显示:ox-LDL是早发冠脉三支病变的独立危险因素。结论:血清 ox-LDL、ApoB及ApoB/A1 水平与早发冠脉三支病变密切相关,ox-LDL是独立危险因素。
英文摘要:
      Objective:To study the changes and clinical significance of serum oxidized low density lipoprotein (ox-LDL), apolipoproteinB (ApoB) and ApoB/A1 in patients with early three coronary lesions.Methods:A total of 185 patients with angina, who were admitted to Qionghai People's Hospital from March 2014 to March 2015, were selected and divided into study group (n=103, with early three coronary lesions) and control group(n=82, with normal coronary) according to the coronary angiography results. The Ox-LDL, ApoB, ApoA1 and ApoB/A1 levels of two groups were compared, and their relationship with early three coronary lesions were analyzed.Results:The Ox-LDL, ApoB and ApoB/A1 levels of study group were significantly higher than those of control group(P<0.05), but there was no significant difference in the ApoA1 level between the two groups (P>0.05). Logistic regression analysis showed that Ox-LDL was the independent risk factor of early three coronary lesions.Conclusion:The levels of serum ox-LDL, ApoB and ApoB/A1 are closely related with early three coronary lesions, furthermore, Ox-LDL is an independent risk factor.
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