非高密度脂蛋白胆固醇与碱性磷酸酶水平的调查与分析
Investigation and analysis of the serum levels of non-high density lipoprotein cholesterol and alkaline phosphatase
  
DOI:10.3969/j.issn.1006-7108.2013.06.007
中文关键词:  非高密度脂蛋白胆固醇  碱性磷酸酶  低密度脂蛋白  促动脉硬化指数
英文关键词:Non-high density lipoprotein cholesterol  alkaline phosphatase  ALP  low density lipoprotein cholesterol  Atherogenic index of plasma (AIP)
基金项目:民政部十一?五期间老年学研究科研立项项目课题(民人教科字〔2007〕18号)
作者单位
杨莉萍1 杨国柱2 陆幸妍2 陈珺2 卢丽2 李青南2 1.广东药学院附属门诊部检验科广州510240 2.广东药学院生命科学与生物制药学院/广东省生物技术候选药物研究重点实验室广州510006 
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中文摘要:
      目的 调查广州某高校人群的非高密度脂蛋白胆固醇(non-HDLC)与碱性磷酸酶(ALP)水平,并结合血浆促动脉硬化指数(AIP)分析两指标的临床预测意义以及两指标之间的关系。方法 采用前瞻性研究对2011-2012年广州地区的某高校505例人群的完整体检资料进行统计分析,直接检测法得出血浆总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)等血脂的水平及ALP水平,根据公式计算出non-HDLC,结合AIP指数统计分析不同分组人群血浆non-HDLC水平和ALP水平,探讨non-HDLC对动脉粥样硬化评估的临床预测意义,以及骨代谢指标ALP与血脂之间的关系。结果 血脂non-HDLC、LDL-C水平60岁以前同年龄层不存在性别差异,血脂水平都在60岁以后出现高值,且存在性别差异;无论对血脂正常人群按TC或TG分层与否,与LDL-C,non-HDLC都呈现出与AIP更稳定更密切的相关性。60岁以上的男性、女性人群中ALP与血脂non-HDLC均呈正相关(r=0.520、0.226,P <0.001、P <0.05),而男性仅60岁以上的ALP值与AIP呈正相关(r=0.717,P <0.001)。结论 较以往单凭LDL-C值的判断,血脂non-HDLC值和AIP值的结合判断能提高临床上对动脉粥样硬化危险性评估的准确性。血脂与骨指标ALP也存在着密切的关系。
英文摘要:
      Objective To investigate the serum levels of non-high density lipoprotein cholesterol (non-HDLC) and alkaline phosphatase (ALP) of population in a university in Guangzhou, and to analyze the inner relationship between two markers combining with atherogenic index of plasma (AIP). Methods Clinical data of 505 people, who attended to physical examination in our hospital from 2011 to 2012, were prospectively studied and analyzed. Serum levels of total cholesterol (TC), triglyceride (TG), high density lipoprotein cholesterol (HDL-C), and low density lipoprotein cholesterol (LDL-C) were detected according to standard operating procedures. ALP levels were also detected. And then non-HDLC level was calculated according to the formulae. Non-HDLC levels and ALP levels in different groups were statistically analyzed combining with AIP. The predicating significance of non-HDLC on the evaluation of atherosclerosis and the correlation between ALP and blood lipid metabolism were analyzed. Results The serum levels of both non-HDLC and LDL-C showed no gender difference before 60 years old. But peak value of the serum levels appeared after 60 years old and showed gender difference. Non-HDLC was more closely and stably related to AIP than LDL-C as comparing TC and TG on different levels or without grouping. ALP was positively correlated with non-HDLC in both male and female groups over 60 years old (r=0.520, 0.226, respectively, P<0.001, P<0.05). And only in males over than 60 years old, ALP was positively correlated with AIP (r=0.717, P<0.001). Conclusion Compared with using LDL-C alone, combining with the two indexes, non-HDLC and AIP, can improve the accuracy of atherosclerosis risk evaluation. Blood lipid metabolism is correlated with bone metabolism marker, ALP.
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