社区老年人血清同型半胱氨酸和高脂血症关系分析.docVIP

社区老年人血清同型半胱氨酸和高脂血症关系分析 　　摘 要 目的：分析中心城区老年人血清同型半胱氨酸与高脂血症的关系，为预防心脑血管疾病提供参考。方法：将体检并进行Hcy检测的275例老年人，性别、年龄分层，比较Hcy和高脂血症的关系。结果：70～79岁老年男性高Hcy血症组检出率高于同龄女性（P0.05）；80岁及以上老年女性高Hcy血症合并高TC、高TG、混合型高脂血症检出率高于同年龄正常Hcy血症组（P0.05）；高Hcy血症者合并高TC血症、合并高TG血症、合并混合型高脂血症检出率，与正常Hcy者比较无明显相关。结论：老年人应加强血Hcy、血脂的检查，积极干预，减少心脑血管疾病的发生。 　　关键词 同型半胱氨酸 高脂血症 老年人 　　中图分类号：R589.3 文献标识码：A 文章编号：1006-1533（2014）18-0053-03 　　Analysis of the relationship of the serum homocysteine with hyperlipidemia 　　of the community elderly people 　　TENG Bin1， WANG Tairong2*， ZHOU Li1， LIN Leping1， YANG Tao1， LIN Haihua1， XU Tao1， LIU Zhongren1 　　（1.Wuliqiao Community Health Service Center， Shanghai 200023， China； 2. Luwan Branch of Ruijin Hospital of Medical College of Jiao Tong University， Shanghai 200020. China） 　　ABSTRACT Objective： To analyze the relationship of the serum homocysteine with hyperlipidemia in the elderly people in the central urban area to provide a reference for the prevention of the cardiovascular and cerebrovascular diseases. Methods： Total 275 cases of the elderly who had been physically examined and their Hcy detected were classified according to their gender and age and the relationship of their homocysteine and hyperlipidemia was compared. Results： The detection rate of high Hcy in the male elderly group aged between 70 to 79 was higher than that of the female group at the same ages （P0.05）. The detection rate of high Hcy of the female aged above 80 who combined with high TC， high TG and mixed hyperlipidemia was higher than those of the normal Hcy group at the same ages （P0.05）. The detection rate of the patients with Hcy combined with high blood TC， high TG and mixed hyperlipidemia had no obvious significant correlation with the people with the normal Hcy. Conclusion： The examination of the blood Hcy and lipid should be strengthened for the elderly people and intervened actively to reduce the occurrence of the cardiovascular and cerebrovascular diseases. 　　KEY WORDS homocysteine； hyperlipidemia