南方医科大学学报

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (04): 470-471.

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血脂水平对无症状高血压患者ST-T改变的影响

肖文星1, 宾建平1, 尚华2   

  1. 1. 第一军医大学南方医院心内科, 广东, 广州, 510515;
    2. 第一军医大学南方医院康复理疗科, 广东, 广州, 510515
  • 出版日期:2004-04-20 发布日期:2004-04-20
  • 基金资助:
    收稿日期:2003-9-16。
    作者简介:肖文星(1969-),1993年毕业于苏州医学院,本科,现为南方医院心内科在读硕士,E-mail:xwx@fimmu.com.

Effects of blood lipid levels on ST-T segment in asymptomatic hypertensive patients

XIAO Wen-xing1, BIN Jian-ping1, SHANG Hua2   

  1. 1. 第一军医大学南方医院心内科, 广东, 广州, 510515;
    2. 第一军医大学南方医院康复理疗科, 广东, 广州, 510515
  • Online:2004-04-20 Published:2004-04-20

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摘要： 目的 探讨无症状高血压患者ST-T改变的影响因素。方法 以无症状高血压患者为研究对象,按心电图表现分为ST-T改变组(28例)和无ST-T改变组(20例),检测两组患者的血糖、血脂水平。结果 与无ST-T改变组相比,ST-T改变者血清总胆固醇水平明显增高,而高密度脂蛋白水平则明显降低(P<0.05),其他检测指标在两组无显著性差异。结论 在血脂正常的无症状高血压患者中,相对较高的总胆固醇水平促使或加重心肌缺血,而高密度胆固醇对心肌损害起着保护作用。

Abstract: Objective To identify the factors affecting ST-T segment in asymptomatic hypertensive patients. Methods The asymptomatic patients with hypertention were divided into abnormal ST-T group (n=28) and normal ST-T group (n=20), in whom the serum levels of glucose, total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL), low-density lipoprotein cholesterol (LDL), very-low-density lipoprotein cholesterol (VLDL) were measured. Results Com-pared with patients with normal ST-T segment, patients with abnormal ST-T segment had significantly higher serum levels of TC, but significantly lower HDL. The serum levels of glucose, TG, LDL, VLDL differed little between the 2 groups of pa-tients. Conclusion In asymptomatic patients with hypertension, higher serum TC level may cause or worsen ischemic my-ocardial damage, for which HDL plays a protective role.

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