餐后高甘油三酯血症与冠心病的关系
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Relation of Postprandial Hypertriglyceridemia and Coronary Heart Disease
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    摘要:

    为探讨餐后高甘油三酯血症与冠心病的关系,6 1例研究对象被分为冠心病组(n =30 )和对照组(n =31)两组,均口服标准脂肪餐(含脂肪5 3.4g/m2 体表面积) ,分别测定其空腹及餐后2、4、6、8及10h的甘油三酯浓度及高密度脂蛋白胆固醇浓度。发现两组病人餐后甘油三酯浓度达高峰时间均为6h ,冠心病组的高峰浓度(6 .15±3.0 0mmol/L)及餐后甘油三酯代谢的曲线下面积[2 5 .96±14.33mmol/ (h·L) ]明显高于对照组[4 .5 9±2 .0 9mmol/L及14.6 9±6 .5 8mmol/ (h·L) ,P<0 .0 0 5 ]。Logistic多元回归分析提示,餐后甘油三酯代谢的曲线下面积是冠心病的独立危险因素。相关分析表明餐后甘油三酯代谢的曲线下面积与两组餐后6h及8h甘油三酯浓度存在明显的正相关关系。以上提示冠心病病人存在异常的餐后高甘油三酯血症,该异常是冠心病的独立危险因素。测定餐后6h及8h甘油三酯浓度可以代替餐后甘油三酯代谢的曲线下面积,从而简化脂肪餐负荷试验。

    Abstract:

    Aim To evaluate the effects of postprandial hypertriglyceride on CHD in Chinese. Methods Fat tolerance test (fat: 53.4 g/m 2 body surface area)was performed in 61 subjects who were divided into two groups: CHD(n=30)and control(n=30). Concentration of triglyceride(TG) and high density lipoprotein cholesterol(HDLC) were determined before and 2,4,6,8 and 10 h after a standardized fat test meal. Both the peak concentration of postprandial TG (6.15±3.00 mmol/L) and the Area Under Curve [AUC, 25.96±14.33 mmol/(h·L)] of postprandial triglyceride concentration were higher in CHD than those [4.59±2.09 mmol/L and 14.69±6.58 mmol/(h·L),P<0.005] in control. The AUC is an independent risk factor of CHD by multivariate logistic-regression analysis. There is a positive correlation between AUC and the concentration of 6 and 8 h postprandial triglyceride(TG 6 or TG 8). Conclusions Our study indicated that there be abnormal postprandial hypertriglyceridemia in CHD. The abnormal postprandial hypertriglceridemia is an independent risk factor of CHD. The concentration of TG 6 or TG 8 may replaced AUC and simplify the fat load test.

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白玉蓉,陈红,蒋宝琦,贾梅,李百花.餐后高甘油三酯血症与冠心病的关系[J].中国动脉硬化杂志,2000,8(4):346~349.

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  • 收稿日期:2000-01-17
  • 最后修改日期:2000-07-22
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