CAJ | 학술논문

目的探讨代谢综合征(MS)患者餐后三酰甘油(TG)与冠状动脉病变程度的关系.方法选择住院MS患者91例,分为空腹及餐后4 h TG正常(MSl)组31例;空腹TG正常而餐后4 hTG增高(MS2)组29例;空腹TG增高(MS3)组31例.检测餐后4hTG及行冠状动脉造影明确冠状动脉病变支数,并分析两者关系.结果冠状动脉病变支数与餐后4 h TG呈显著正相关,相关系数为0.42(P<0.01).结论在临床工作中应增加对MS患者餐后4 h TG的检测以便及时发现血脂代谢紊乱并采取相应干预措施,降低MS患者心血管疾病的发生率和病死率.
목적 탐토대사종합정(MS)환자찬후삼선감유(TG)여관상동맥병변정도적관계.방법 선택주원MS환자91례,분위공복급찬후4 h TG정상(MSl)조31례;공복TG정상이찬후4 hTG증고(MS2)조29례;공복TG증고(MS3)조31례.검측찬후4hTG급행관상동맥조영명학관상동맥병변지수,병분석량자관계.결과 관상동맥병변지수여찬후4 h TG정현저정상관,상관계수위0.42(P<0.01).결론 재림상공작중응증가대MS환자찬후4 h TG적검측이편급시발현혈지대사문란병채취상응간예조시,강저MS환자심혈관질병적발생솔화병사솔.
Objective To investigate the association between postprandial triglyceride and the severity of coronary artery disease in patients with metabolic syndrome (MS). Methods AlI of 91 patients with MS were recruited for this study. Thirty-one patients with normal fasting and postprandial triglyceride was in MS1 group, 29 patients with normal fasting triglyceride and postprandial hypertrigtyceridemia was in MS2 group, and 31 patients with fasting hypertriglyeeridemia was in MS3 group. Blood triglyceride at the time of postprandial 4 hours was measured and the quantity of coronary artery branch disease was determined by coronary angiography. The relationship between them was analyzed. Result There was significant positive correlation between the quantity of coronary artery branch disease and the level of blood triglyceride at the time of postprandial 4 hours (r = 0.42, P < 0.01 ). Conclusions It is important to detect the level of blood triglyceride at the time of postprandial 4 hours. Prompt intervention maybe decrease the incidence and mortality rate of cardiovascular disease in patients with MS.