目的探讨汉人酗酒与动脉粥样硬化(As)之间的关系。方法(1)随机选择心绞痛、心肌梗死、心肌纤维化、脑梗死、脑溢血等As相关疾病患者165例,分析以下构成比(R)大小:(a)按酗酒年限分组,各组中As相关病人数在165人中的R(a);(b)按日均酒精量分组,各组中As相关病人数在165人中的R(b);(e)按疾病种类分组,各组中酗酒病人数在该组病人数中的R(c)。(2)随机选择酗酒脂肪肝(F)44人,酗酒非脂肪肝(N)32人,健康对照(C)50人,测定以下指标:(a)血脂:甘油三酯(TG),总胆固醇(TC),低密度脂蛋白胆固醇(LDL-C),高密度脂蛋白胆固醇(HDL-C)。(b)肝功能:丙氨酸转氨酶(ALT),γ-谷氨酰转移酶(GLT),胆碱脂酶(CHE),总胆汁酸(TBA),总胆红素(TBil)。禁酒1月后复查。结果(1)R(a)随酗酒年限而增大,R(b)随日均酒精量而增大,R(c)在87.50%~94.11%之间。(2)F,N组中,LDL-C,HDL-C无变化,而TG,TC增高;两组Tbil和N组CHE无变化,而两组ALT,GLT,TBA和F组CHE增高;禁酒1月后,两组TG,TC.LDL.C,HDL-C,Tbil,CHE无变化,而ALT,GLT仍高于C组。结论酗酒是汉人As的危险因子,其机制与慢性肝细胞损伤致脂质代谢紊乱有关。
Objective The relationship and its mechanisms between heavy alcohol intake and atherosclerosis (As) were studied via epidemiological investigations. Methods ( 1 ) 165 male patients with As - related diseases (see below) were selected randomly, including 43 angina patients, 31 myocardial infarction patients, 8 myocardial fibrosis patients, 51 cerebral infarction patients and 32 cerebral haemorrhage patients. Three kinds of constituent ratios were studied: (a)According to alcohol consumption years, all 165 patients were divided into 4 groups (hardly consumed, 〈 5 years, 5 - 10 years, 〉 10 years) . In every group of patients, ratios of As - related patients count to 165 (patients) were studied. (b)According to alcohol consumption quantity, all 165 patients were divided into 3 groups ( hardly consumed, ≤300 ml/day, 〉 300 ml/day). In every group of patients, ratios of As - related patients count to 165 (patients) were studied. (c)According to single disease, all 165 patients were divided into 5 groups ( angina, myocardial infarction, myocardial fibrosis, cerebral infarction, cerebral haemorrhage). (2) 44 heavy alcohol intake & fatty liver men, 32 heavy alcohol intake & non - fatty liver men, 50 healthy men were selected randomly, and some of their serum data were measured, including: (a) blood lipid: triglyeeride ( TG), total cholesterol (TC), low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) ; (b)liver function : alanine aminotransferase ( ALT), 5,-glutamyhransferase ( GLT), cholinesterase ( CHE ) , total bile acid (TBA) and total bilirubin (TBil). After 1 month of alcohol temperance the above data were measured again. Results ( 1 ) Constituent ratios 1 increased with the alcohol consumption years, constituent ratios 2 increased with the alcohol consumption quantity, and constituent ratios 3 were 87.50% - 94, 11%. ( 2 ) In both groups of heavy alcohol inta