摘要
目的 :研究本地区不同年龄急性心肌梗死 (AMI)患者血脂水平状况及冠心病 (CHD)二级预防中的调脂治疗。方法 :将 170例AMI患者分为中青年组 (35～ 5 9岁 ,49例 )、老年组 (6 0～ 79岁 ,10 9例 )、高龄老年组(80～ 90岁 ,12例 ) ,分析各年龄组总胆固醇 (TC)、甘油三脂 (TG)水平 ,血脂增高检出率 ,强调了高胆固醇血症的治疗策略。结果 :TC ,TG水平随AMI发病年龄增加而降低 ,TG水平与AMI发病年龄呈负相关 (γ =- 0 2 0 3,P <0 0 1) ,中青年组及老年组TC均值极显著高于高龄老年组 (P <0 0 1) ,中青年组TG均值显著高于其他两组(P <0 0 5 ) ,39%的AMI患者因TC增高需开始饮食疗法 ,2 7%的需开始药物疗法。结论 :重视CHD ,特别是中青年组病人的调脂治疗 ,调脂治疗为CHD二级预防的重要措施。
Objective: To study the serum lipid levels among different age groups patients with acute myocardial infarction (AMI) and the use of lipid lowering pharmacotherapy in coronary secondary prevention.Methods: 170 patients with AMI were divided into young middle aged group(aged 35-59,49 cases),aged group(aged 60-79,109cases),and senile group (aged 80-90,12cases).Total cholesterol level(TC),triglyceride level(TG),and the morbidity of hyperlipidemia were analyzed.The therapeutic strategy for hypercholesterolemia was stressed.Results: TC and TG levels decreased with increasing age.Both TG and the attack age of AMI were in a negative correlation(γ=-0 203,P<0 01).TC mean in young middle age group and aged group was much higher than that in senile group(P<0 01).TG mean in young middle age group was significantly higher than that in the other two groups.Of the 170 patients with AMI,39% should receive the diet therapy,27% pharmacotherapy. Conclusion: It is a very important measure to modify lipid for coronary secondary prevention,especially in young middle aged patients.
出处
《贵阳医学院学报》
CAS
2001年第3期220-221,224,共3页
Journal of Guiyang Medical College
关键词
心肌梗塞
胆固醇
甘油三酯类
血脂
myocardial infarction
cholesterol
triglycerides
serum lipid
