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目的:分析血清总胆固醇、甘油三酯、高密度脂蛋白、和低密度脂蛋白的含量变化与引发脑血栓、脑出血的联系。方法:检查125例病患的血脂含量,包括62例脑出血病人以及63例脑梗塞病人与61例正常人相比较。结果:脑梗塞组成员的甘油三酯明显比正常组员高。脑出血组成员的血清总胆固醇以及低密度脂蛋白的含量明显比脑梗塞组成员和正常组成员要低。结论:处于急性期间的脑出血的血清总胆固醇和低密度脂蛋白有显著地下降迹象,不过并不全面,不能完全说明出血前的血脂水平。引发脑梗塞的决定性因素其中之一可能是血清中总胆固醇升高。
Objective: To analyze the changes of serum total cholesterol, triglyceride, high density lipoprotein, and low density lipoprotein and the relationship between cerebral thrombosis and cerebral hemorrhage. Methods: Blood lipid levels were examined in 125 patients, including 62 patients with cerebral hemorrhage and 63 patients with cerebral infarction compared with 61 normal individuals. Results: The triglycerides in the cerebral infarction group were significantly higher than those in the normal group. The content of serum total cholesterol and low density lipoprotein in cerebral hemorrhage group was significantly lower than those in cerebral infarction group and normal group. CONCLUSIONS: Serum total cholesterol and low density lipoprotein are significantly reduced in ICH patients during the acute phase, but they are not comprehensive and can not fully explain the level of pre-bleeding lipids. One of the decisive factors triggering cerebral infarction may be elevated serum total cholesterol.