【摘要】 以心肌梗塞存活者（MIS）72例为研究对象,其中男性49例,年龄46～77（平均61.12±7.69）岁,女23例,年龄51～76（平均62.17±7.59）岁。以正常人178例为对照,其中男116例,年龄42～68（平均57.03±7.67）岁,女62例,年龄44～66（平均56.17±6.38）岁。测定血清中血脂、脂蛋白、载脂蛋白及雌二醇水平,经 t 检验及多因素逐步回归表明,男性预示冠心病（CHD）或心肌梗塞（MI）的最佳指标（在所测定指标中）为 apoA₁,LDL-C/HDL-C;在女性最佳的预示指标是 HDL-C。结果表明,雌二醇（E₂）确有保护免患 CHD 的作用,但 MIS 血中 E₂水平明显提高的原因还有待进一步探讨。更多还原

【Abstract】 In order to determine the best discriminator of serum lipids,lipoproteins andapolipoproteins in coronary heart disease（CHD）or myocardial infarction,72 myoc-ardial infarction survivors（MIS）（more than 3 months after onset）including 49 malesand 23 females were studied and compared with 178 healthy persons without hyper-tension or diabetes mellitus（116 healthy men and 62 healthy women）.The resultusing the method of multivarial analysis showed that the best prediscriminator forCHD or myocardial infarction were apoA₁,LDL-C/HDL-C in males and was HDL-Cin females.It was suggested that E₂ might be one of resistant factors against CHD.更多还原