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目的分析急性心肌梗塞(AMI)患者发病24小时之内的血脂与年龄、性别、高血压病、糖尿病的关系。方法对120例AMI患者入院时的总胆固醇(TC)、低密度脂蛋白-胆固醇(LDL-C)、高密度脂蛋白-胆固醇(HDL-C)、血清甘油三酯(TG)进行测定,并根据患者年龄、性别,有无合并糖尿病、高血压病进行分组,比较各组间的血脂。结果急性心肌梗塞发病24小时之内TC≥6.24mmol/L者占12.5％,TC在4.68～6.24mmol/L的患者占44.17％,LDL-C≥2.6mmol/L者占63.33％,HDL-C≤0.91mmol/L占13.33％,TG≥2.2mmol/L者占20％,TG在1.70～2.2mmol/L者占13.33％;所有血脂异常者总计为78.67％。结论在急性心肌梗塞发病24小时之内,可以发现血脂异常。在男性和女性、高血压病和非高血压病、糖尿病和非糖尿病患者之间,血脂存在显著性差异。
Objective To analyze the relationship between serum lipids and age, gender, hypertension and diabetes within 24 hours after onset of acute myocardial infarction (AMI). Methods Total cholesterol (TC), low density lipoprotein-cholesterol (LDL-C), high density lipoprotein-cholesterol (HDL-C) and serum triglyceride (TG) were measured in 120 patients with AMI According to the patient’s age, gender, with or without diabetes, hypertension were grouped and compared between groups lipids. Results Within 24 hours after onset of acute myocardial infarction, TC≥6.24mmol / L accounted for 12.5%, TC was 4.68 ~ 6.24mmol / L, accounting for 44.17%, LDL-C≥2.6mmol / L accounted for 63.33%, HDL-C ≤0.91mmol / L accounted for 13.33%, TG≥2.2mmol / L accounted for 20%, TG 1.70 ~ 2.2mmol / L accounted for 13.33%; all dyslipidemia was 78.67%. Conclusion Within 24 hours after onset of acute myocardial infarction, dyslipidemia can be found. There is a significant difference in blood lipids between men and women, hypertensive and non-hypertensive, diabetic and non-diabetic patients.