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老年糖尿病合并急性心肌梗死血脂异常分析
引用本文:孙琳,任建民,韩峰. 老年糖尿病合并急性心肌梗死血脂异常分析[J]. 实用老年医学, 2003, 17(3): 140-141
作者姓名:孙琳  任建民  韩峰
作者单位:1. 272129,山东,济宁医学院附属医院内分泌科
2. 250012,济南,山东大学齐鲁医院内分泌科
3. 250200,山东省章丘市人民医院内分泌科
摘    要:目的 分析老年糖尿病合并急性心肌梗死与血脂异常的关系。  方法 收集我院老年糖尿病合并急性心肌梗死患者 45例 (Ⅰ组 ) ,无急性心肌梗死的老年糖尿病患者 32例 (Ⅱ组 ) ,老年对照组 2 7例 (Ⅲ组 ) ,检测血脂水平并进行比较。  结果  糖尿病合并心肌梗死组血甘油三酯 (TG)、载脂蛋白B明显升高 ,高密度脂蛋白(HDL)、载脂蛋白A1显著降低 ,与Ⅱ组相比 ,差异显著 (P <0 0 1) ,与Ⅲ组相比血TG水平升高 ,HDL降低 (P <0 0 1)。  结论  TG升高、HDL降低是老年糖尿病心血管并发症的主要危险因素

关 键 词:糖尿病 心肌梗死 血脂异常 老年人
文章编号:1003-9198(2003)03-0140-02
修稿时间:2003-01-13

An analysis of dyslipidemia in elderly type 2 diabetes mellitus complicated with acute myocardial infarction
Sun Lin. An analysis of dyslipidemia in elderly type 2 diabetes mellitus complicated with acute myocardial infarction[J]. Practical Geriatrics, 2003, 17(3): 140-141
Authors:Sun Lin
Affiliation:Sun Lin.Department of Endocrinology,Affiliated Hospital of Jining Medical College,Jining 272127,Ren Jianmin.Qilu Hospital of Shandong University,Jinan 250012,Han Feng.Renmin Hospital of Zhangqiu,Zhangqiu 250200
Abstract:Objective To explore the relationship between elderly type 2 diabetes mellitus complicated with acute myocardial infarction(AMI) and dyslipidemia. Methods Forty-five cases were elderly AMI diabetic patients,32 cases were AMI-free diabetic patients,27 cases were healthy individuals as control.The level of serum triglyceride(TG),total cholesterol(TC),high density lipoprotein(HDL),apolipoprotein A(ApoA),apolipoprotein B(ApoB) and fasting blood glucose(FBG) were measured. Results The level of serum TG,HDL,ApoB was higher,the level of HDL and ApoA1 lower,in the group of DM complicated with AMI. Conclusions The higher level of serum TG and the lower level of HDL are the two major important risk factors of the cardiovascular complications in elderly diabetics.
Keywords:Diabetes mellitus  Myocardial infarction  Dyslipidemia  The aged
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