血脂比值指标在心血管疾病风险预估中的研究进展

Research progress on the role of lipid ratio indicators in the estimation of cardiovascular disease risk

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DOI 10.12208/j.ijcr.20250184
刊名
International Journal of Clinical Research
年,卷(期) 2025, 9(4)
作者
作者单位

1 大理大学临床医学院 云南大理,2 云南省第三人民医院 云南昆明

摘要
血脂异常是引发心血管疾病(CVD)的关键因素之一,其中低密度脂蛋白胆固醇(LDL-C)水平长期以来被视为心血管疾病风险评估的核心指标。然而,近年来的研究表明,血脂比值指标在预测心血管疾病风险方面可能比单一血脂指标(如LDL-C)更具优势。这些血脂比值指标,如载脂蛋白B与载脂蛋白A1比值(ApoB/ApoA1)、非高密度脂蛋白胆固醇与高密度脂蛋白胆固醇比值(non-HDL-C/HDL-C)、残余胆固醇与高密度脂蛋白胆固醇比值(RC/HDL-C)以及低密度脂蛋白胆固醇与高密度脂蛋白胆固醇比值(LDL-C/HDL-C),在临床应用中可为心血管疾病风险评估提供更精确的工具。
Abstract
Dyslipidemia is one of the key factors contributing to cardiovascular diseases (CVD), with low-density lipoprotein cholesterol (LDL-C) levels long regarded as a central metric for assessing cardiovascular risk. However, recent studies suggest that lipid ratio indices may offer superior predictive value for cardiovascular risk compared to single lipid metrics such as LDL-C. These lipid ratio indices, including the apolipoprotein B to apolipoprotein A1 ratio (ApoB/ApoA1), non-high-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (non-HDL-C/HDL-C), remnant cholesterol to high-density lipoprotein cholesterol ratio (RC/HDL-C), and low-density lipoprotein cholesterol to high-density lipoprotein cholesterol ratio (LDL-C/HDL-C), provide more precise tools for cardiovascular risk assessment in clinical practice.
关键词
血脂比值指标;心血管疾病;预测
KeyWord
Lipid ratio indices, Cardiovascular diseases, Risk prediction
基金项目
页码 50-55
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李雅甜,李宏伟,李继舟,张晔,杨红玲*. 血脂比值指标在心血管疾病风险预估中的研究进展 [J]. 国际临床研究杂志. 2025; 9; (4). 50 - 55.

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