【摘要】 目的 探讨脑血管病急性期血脂变化及特点。方法 脑梗死168 例、脑出血72 例、对照组130例,分别于住院24h 内检测总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDLC)、低密度脂蛋白胆固醇(LDLC)。数据经统计学处理,组间比较采用较正t检验。结果 脑出血组与脑梗死患者血清TC、LDLC浓度明显高于对照组，差异有显著性。结论 TC、LDLC可作为临床预测脑血管病的重要指标。

    【关键词】 脑血管病;胆固醇;甘油三酯;脂蛋白

    【Abstract】 Objective To observe the change and characteristic of serum lipids in patients with cerebrovascular diseases (CVD). Methods The serum levels of triglyceride (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDLC), low density lipoprotein cholesterol (LDLC) in 168 patients with cerebral infarction (CI), 72 patients with cerebral hemorrhage (CH) and 130 normal controls. Results The patients with CVD had higher levels of TC, LDLC, and the levels of the three groups had a significant difference. The patients with CI had lower levels of HDLC than that of normal controls. Conclusion TC, LDLC are important clinical index of forecasting CVD.

    【Key words】 cerebrovascular diseases; total cholesterol;triglyceride; lipoprotein

    脂质代谢紊乱对脑血管的影响国内外报道较多,但结果不一,血脂测定数据相差达1.3～4倍之多[1 ......