ApoB和ApoB/ApoA-Ⅰ比值在冠心病危险性预测中的应用

    The predictive value of the level of ApoB and ApoB/ApoA-Ⅰ ratio coronary heart disease

    • 摘要: 目的:探讨脂蛋白、载脂蛋白(Apo)和ApoB/ApoA-Ⅰ比值及血浆脂蛋白aLP(a)的水平与冠心病(coronary heartdisease,CHD)的关系。方法:将20名健康体检者设为对照组,61例住院并诊断为CHD的患者设为CHD组。分别检测甘油三酯(TG)、胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)及ApoB、ApoA-Ⅰ比值、LP(a)的水平。结果:CHD组与对照组比较,HDL-C、ApoB、ApoB/ApoA-Ⅰ比值、LP(a)差异均有统计学意义(P<0.05)。Logistics逐步回归分析提示,HDL-C、ApoB、LP(a)均是CHD的独立危险因子。相关分析发现,ApoB、Lp(a)及ApoB/ApoA-Ⅰ比值与CHD正相关,其他结果均无明显相关性。结论:ApoB、ApoB/ApoA-Ⅰ比值与Lp(a)联合监测对CHD危险性的预测更有意义。

       

      Abstract: Objective:To evaluate the relationship between the levels of lipoprotein,apoprotein(Apo),ApoB/ApoA-Ⅰ ratio,and LP (a) and coronary heartdisease(CHD). Methods:Sixty-one patients diagnosed as CHD were as the CHD group,20 healthy people were selected as control. The levels of TG,TC,HDL-C,LDL-C,ApoB,ApoA-Ⅰ,and LP(a) were detected. Results:There were significantly differences between the group CHD and control in the levels of HDL-C,ApoB,LP(a),and ApoB/ApoA-Ⅰratio(P<0.05). Among lipid index,HDL-C,ApoB and LP(a) were the independent risk factors for CHD by using of Logistics stepwise regression analysis. Correlation analysis found that ApoB,Lp(a) and ApoB/ApoA-Ⅰ ratio were positive correlation with CHD. There were no significant correlations for other results. Conclusions:There are more valuable to predict the risk factor when associated with ApoB,ApoB/ApoA-Ⅰ ratio and Lp(a).

       

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