Abstract

目的 研究血管性认知功能障碍(VCI)患者血脂代谢的变化.方法测定206例VCI患者和325例年龄相匹配的正常对照者血清总胆固醇(TC)、甘油三脂(TG)、高密度脂蛋白(HDL)、低密度脂蛋白(LDL)水平. 结果VCI组患者血清中TC、TG、HDL、LDL的水平分别为(5.52±1.14)mmol/L、(1.59±0.47)mmol/L、(1.08±0.35)mmol/L、(3.48±0.86)mmol/L,而正常老年人中相应指标分别为(4.97±1.09)mmol/L、(1.28±0.45)mmol/L、(1.12±0.36)mmol/L、(2.96±0.81)mmol/L,其中VCI组TC、LDL、TG均明显高于对照组,差异有显著性(P<0.05),而HDL在两组间比较差异则无显著性(P>0.05).结论VCI患者存在明显的脂质代谢紊乱,TC、LDL、TG可能对VCI的发病有一定的影响,而HDL与VCI发病可能无关联。

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