不同性别颈动脉粥样硬化患者幽门螺杆菌感染与血脂的关系
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摘要
目的探讨颈动脉粥样硬化患者幽门螺杆菌(Hp)感染与血脂的关系。方法根据13C-尿素呼气试验结果,将553例颈动脉粥样硬化患者分为Hp阳性组、Hp阴性组,按男、女分别比较两组体重指数(BMI)、收缩压(SBP)、舒张压(DBP)、三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、脂蛋白(a)[Lp(a)]、空腹血糖(FBG)、血尿酸(UA)、超敏CRP(hs-CRP)的差异。结果不管是男性还是女性颈动脉粥样硬化患者,Hp阳性组的TC、Lp(a)均高于Hp阴性组,Hp阳性组的HDL-C低于Hp阴性组,但差异无统计学意义。只有男性颈动脉粥样硬化患者Hp阳性组的LDL-C显著高于Hp阴性组(P<0.05)。结论男性颈动脉粥样硬化患者Hp感染可能与LDL-C有关。
Objective To explore the relationship between helicobacter pylori infection and blood lipid among carotid atherosclerosis suf- ferers.Methods 553 carotid atherosclerosis sufferers were divided into two groups according to13C-urea breath test results:positive heli- cobacter pylori group and negative helicobacter pylori group.Body mass index(BMI),systolic blood pressure(SBP),diastolic blood pressure(DBP),triglycerides(TG),total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C), lipoprotein(a) [Lp(a)],fasting blood glucose(FBG),serum urine acid(UA) and high-sensitivity CRP(hs-CRP) were compared between the two groups by gender differences.Results For both male and female atherosclerosis sufferers,the levels of TC and Lp(a) in the positive he- licobacter pylori group were higher than those in the negative helicobacter pylori group,while the level of HDL-C in the positive helicobac- ter pylori group was lower than that in the negative helicobacter pylori group,the differences were not of statistical significance(P >0.05). Only the level of LDL-C of male carotid atherosclerosis sufferers in the positive helicobacter pylori group was significantly higher than that of male carotid atherosclerosis sufferers in negative helicobacter pylori group(P <0.05).Conclusion Helicobacter pylori infection in male carotid atherosclerosis sufferers may relate to the level of LDL-C.
Objective To explore the relationship between helicobacter pylori infection and blood lipid among carotid atherosclerosis suf- ferers.Methods 553 carotid atherosclerosis sufferers were divided into two groups according to13C-urea breath test results:positive heli- cobacter pylori group and negative helicobacter pylori group.Body mass index(BMI),systolic blood pressure(SBP),diastolic blood pressure(DBP),triglycerides(TG),total cholesterol(TC),low density lipoprotein cholesterol(LDL-C),high density lipoprotein cholesterol(HDL-C), lipoprotein(a) [Lp(a)],fasting blood glucose(FBG),serum urine acid(UA) and high-sensitivity CRP(hs-CRP) were compared between the two groups by gender differences.Results For both male and female atherosclerosis sufferers,the levels of TC and Lp(a) in the positive he- licobacter pylori group were higher than those in the negative helicobacter pylori group,while the level of HDL-C in the positive helicobac- ter pylori group was lower than that in the negative helicobacter pylori group,the differences were not of statistical significance(P >0.05). Only the level of LDL-C of male carotid atherosclerosis sufferers in the positive helicobacter pylori group was significantly higher than that of male carotid atherosclerosis sufferers in negative helicobacter pylori group(P <0.05).Conclusion Helicobacter pylori infection in male carotid atherosclerosis sufferers may relate to the level of LDL-C.
引文
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[7]赵清海,阮长武,石益海,等.幽门螺旋杆菌感染与TG、TC、HDL相关性研究[J].山东医药,2011,51(36):66-67.
[8]周夫,翟振秋,李政,等.根除幽门螺杆菌对胰岛素抵抗、血脂及C反应蛋白的影响[J].药物流行病学杂志,2012,21(8):369-373.
[9]郝志华,陈春彦,王俊明,等.糖尿病患者幽门螺杆菌感染情况及颈动脉粥样硬化相关因素研究[J].中国全科医学,2012,6(17):1914-1916.
[10]FangJ,Alaerman MH.Serum uric acid and cardiovascular mortality the NHANES I epidemiologic follow-up study,1971-1992.National Health and Nutrtion Examination Survey[J].JAMA,2000,283(18):2404-2410.
[11]Ridker PM.High-sensitivity C-reactive portein:potential adjunct for global risk assessment in the pirmary prevention of cardiovascular disease[J].Circulation,2001,103(13):1813-1818.
[12]Rost NS,Wolf PA,Kase CS,et al.Plasma concentration of C-reactive protein and risk of ischemic stroke and transient ischemic attack:the Framingham study[J].Stroke,2001,32(11):2575-2579.
[2]周永昌,郭万学.超声医学[M].3版.北京:科学技术文献出版社,1998:1-5.
[3]袁君君,钱明,刘增香,等.健康体检人群幽门螺杆菌感染与血脂关系的探讨[J].中华医院感染学杂志,2013,23(3):545-547.
[4]桑成武,谢军,孙媛媛.阿托伐他汀钙对老年高血压合并颈动脉粥样硬化斑块患者C反应蛋白的影响[J].安徽医药,2012,16(1):106-107.
[5]张强,张瑞彪,张玉芹,等.幽门螺杆菌感染及血清同型半胱氨酸水平与不同年龄脑梗死关系的研究[J].临床荟萃,2009(13):1123-1125.
[6]戴光荣,冯义朝,王会丰,等.幽门螺杆菌与胰岛素抵抗之间的关系分析[J].中国误诊学杂志,2010(24):5866-5867.
[7]赵清海,阮长武,石益海,等.幽门螺旋杆菌感染与TG、TC、HDL相关性研究[J].山东医药,2011,51(36):66-67.
[8]周夫,翟振秋,李政,等.根除幽门螺杆菌对胰岛素抵抗、血脂及C反应蛋白的影响[J].药物流行病学杂志,2012,21(8):369-373.
[9]郝志华,陈春彦,王俊明,等.糖尿病患者幽门螺杆菌感染情况及颈动脉粥样硬化相关因素研究[J].中国全科医学,2012,6(17):1914-1916.
[10]FangJ,Alaerman MH.Serum uric acid and cardiovascular mortality the NHANES I epidemiologic follow-up study,1971-1992.National Health and Nutrtion Examination Survey[J].JAMA,2000,283(18):2404-2410.
[11]Ridker PM.High-sensitivity C-reactive portein:potential adjunct for global risk assessment in the pirmary prevention of cardiovascular disease[J].Circulation,2001,103(13):1813-1818.
[12]Rost NS,Wolf PA,Kase CS,et al.Plasma concentration of C-reactive protein and risk of ischemic stroke and transient ischemic attack:the Framingham study[J].Stroke,2001,32(11):2575-2579.