Change of serum lipoprotein(a) in wounded-bone patients and its clinical significance
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摘要: 目的 探讨骨创伤患者血清脂蛋白(a)[Lp(a)]的变化情况。 方法 选择2009—2013在温州医科大学附属第二医院治疗的骨伤患者2 500例为观察组,从同时期的健康体检者中随机选择200例为对照组。检测观察组(受伤24 h、72 h、1周、1个月)及对照组的Lp(a)水平,同时测定2组血脂和心肌指标。对比2组Lp(a)水平及血脂和心肌指标;分析观察组Lp(a)水平的变化情况及与血脂、心肌指标的关系。 结果 对照组有20例Lp(a)水平超过参考范围300 mg/L,占10.0%。观察组在受伤24 h、72 h、1周、1个月时,分别有810、850、881、425例患者Lp(a)水平超过300 mg/L,分别占32.4%、34.0%、35.2%和17.0%;观察组在受伤24 h、72 h、1周时,Lp(a)水平>300 mg/L的比例均高于对照组(P<0.05)。观察组在受伤24 h、72 h、1周时Lp(a)值高于对照组(P<0.05);2组血脂、心肌指标差异无统计学意义(P>0.05)。 结论 骨创伤患者Lp(a)水平显著升高;其Lp(a)水平是独立于心血管疾病而升高的,可能是由于创伤应激引起。Abstract: Objective To study the change of serum lipoprotein(a)[Lp(a)]of wounded-bone patient and its clinical significance. Methods Total 2 500 cases of wounded-bone patients in our hospital were assigned into observation group;200 physical examinees were selected as control group.The levels of serum Lp(a) and lipid index,myocardial index of the two groups were detected,and the dynamic change between wounded patients and the healthy subjects was compared.The relationship between Lp(a) and lipid index,myocardial index were analyzed. Results Serum Lp(a)levels of 10.0% healthy subjects(20 cases) were more than 300 mg/L.Among the wounded-bone patients,when they were wounded after 24 h,72 h,1 week and 1 month,there were 32.4%,34.0%,35.2%,17.0% patients Lp(a)levels more than 300 mg/L.Serum Lp(a)levels of wounded-bone patients were higher than those of healthy subjects when the patients were wounded after 24 h,72 h and 1 week(P<0.05).When the patients were wounded after 1 month,serum Lp(a) levels of patients were same with the healthy subjects(P>0.05).There was no significant difference between the two groups in lipid index,myocardial index.Regression analysis showed that there was no correlation between Lp(a) and lipid index,myocardial index in wounded-bone patients. Conclusion Serum Lp(a) levels of wounded patients are remarkably higher than those in healthy subjects;the Lp(a) level increases is independent of cardiovascular disease;the increase of Lp(a)levels in wounded-bone patients could be associated with wounded stress.
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Key words:
- Lipoprotein(a) /
- Wounded bone /
- Healthy control
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