张明 霍海洋 李占全 张浩 胡健 孙中行 袁龙 邓重信 张明(辽宁省人民医院 110015)；李占全(辽宁省人民医院 110015)；张浩(辽宁省人民医院 110015)；袁龙(辽宁省人民医院 110015)；邓重信(辽宁省人民医院 110015)；霍海洋(中国医科大学第一临床医院) 中华心血管病杂志 2000 0 28 1


    关键词：冠状动脉疾病；脂蛋白类；甘油三酯 期刊 zhxxgbzz 0 33??35 冠心病研究 fur -->


    

摘 要：目的 探讨甘油三酯/高密度脂蛋白胆固醇(TG/HDL-C)比值对冠心病(CHD)的诊断价值。方法 分析173例选择性冠状动脉造影(冠脉造影)确诊的CHD患者(CHD组)及118例冠脉造影阴性者(对照组)的TG/HDL-C比值水平与CHD之间的关系。结果 CHD组患者的TG/HDL-C比值水平及异常率均明显高于对照组(2.02±1.19vs 1.40±0.97，P<0.01，28.9%比11.8%，P<0.01)。经多元逐步回归分析显示：与TG、HDL-C相比，该比值与CHD之间显示了更有意义的回归关系(β值0.25，P值=0.0001，复相关系数为0.45)。结论 TG/HDL-C比值对于CHD诊断是一有临床使用价值的指标。

Thepredictive value of TG/HDL-C ratio for coronary heart risk

ZHANG Ming HUO Haiyang LI Zhanquan, et al.

    ( Liaoning ProvincialHospital, Shenyang 110015, China )

Abstract ： Objective To study the significance ofserum triglycerin/high density lipoprotein-cholesterol (TG/HDL-C) ratio in predictingcoronary heart disease(CHD) risk. Methods TG/HDL-C ratios were analysed in 291 cases underwentcoronary angiogaphy (CHD was present in 173 patients and absent in 118 as normal controlgroup). Results TG/HDL-C ratio and abnormal rate of the ratio weresignificantly higher in patients with CHD than those of the normal control group(P<0.01). Multivariate regression analysis revealed that the ratio was a significantvariable associated with CHD compared with either TG or HDL-C. Conclusion High TG and low HDL-Cconcentrations are much more dangerous factor in developing CHD than single blood lipidabnormality and thus TG/HDL-C ratio is a better predicting index for CHD risk.

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