摘要
观察55例急性期中风患者血清血脂及其亚组分胆固醇的变化,结果缺血性甘油三脂(TG)、胆固醇(TC)、低密度脂蛋白胆固醇(LDL-c)、极密度脂蛋白胆固醇(VLDL-c)明显高于出血性中风(P<0.05~0.001);高密度脂蛋白胆固醇(HDL-c)则出血性高于缺血性中风;但HDL2-c降低则是两者的共同特点。HDL-c、HDL2-c、HDL2-c/HDL3-c呈风火上扰>痰瘀痹阻>气虚血瘀;LDL-c、TC/HDL-c、TC-HDL.c/HDL.c、LDL-c/HDL-c则呈气虚血瘀>痰瘀痹阻>风火上扰。提示中风患者的防治,在调升HDL-c过程中,提高HDL2-c的临床意义更大;中风虚证患者动脉粥样硬化程度较实证者重,补虚化瘀是防治中风的重要法则,调治血脂代谢异常是化瘀通络的重要途径。
The serum lipid lipoprotein subfractions of 56 patients was observed.The results showed that the TG,TC,LDL-c,VLDL-c in ischemic stroke was significantly higher than those in hemorrhagic stroke( P <0.05 ̄0.01);While HDL-c in the latter was higher than that in the former.Both ischemic and hemorrhagic stroke had the lower HDL 2-c,The increase of HDL-c,HDL 2-c,HDL 2-c/HDL 3-c was in the folowing order:the type of wind-fire rise>of phlem-blood stasis stagnation>of qi deficiency and blood stasis.The lift of LDL-c,TC/HDL-c,TC-HDL-c/HDL-c,LDL-c/HDL-c was in the folowing order of the type of qi deficiency and blood stasis>of phlem-blood stasis stagnation>of wind-fire rise.The above results indicated that increasing HDL 2-c is more important during the prevention and treatment of stroke.The patients of stroke with deficiency syndrome had more severe atherosclerosis than those with excess syndrome.The regulation of blood lipid disorders is a main way of removing the blood stasis and smoothing the channels and collaterals.
出处
《辽宁中医杂志》
CAS
北大核心
1997年第5期199-200,共2页
Liaoning Journal of Traditional Chinese Medicine
关键词
中风
血脂
脂蛋白
亚组分
辩证分型
strok blood lipid lipoprotein subfractions\ classification based on the differentiation of the symptoms and signs\ ischemic/hemorrhagic