暴露在高噪音环境中的男性的血脂谱特征

M. D. Rudoi, E. V. Makarova, L. Strakhova, Yu. V. Ivanova
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摘要

血脂异常是动脉粥样硬化开始和发展的主要因素。寻找影响脂质代谢的可能因素具有现实意义。本研究的目的是评估暴露在高噪音环境中的男性血清中的脂质代谢参数。材料和方法对 293 名未确诊动脉粥样硬化性心血管疾病的男性进行了调查。在调查对象中确定了两组:203 名在噪音影响下工作的男性和 90 名未接触有害生产因素的男性。对总胆固醇、甘油三酯、低密度和高密度脂蛋白以及氧化低密度脂蛋白的水平进行了测定。计算剩余胆固醇、致动脉粥样硬化指数和致动脉粥样硬化血浆指数。结果显示在 55 岁以下从事噪音工作的人群中,总胆固醇(p = 0.02)和残余胆固醇(p = 0.0006)增加,高密度脂蛋白(p = 0.03)减少,致动脉粥样硬化指数(p = 0.05)和致动脉粥样硬化血浆指数(p = 0.07)呈上升趋势。主要组和对照组的高胆固醇血症发病率相当,分别为 56.7% 和 47.4%(p = 0.17)。噪声工作者的氧化低密度脂蛋白中位数未超过标准上限。结论55岁以下的男性在噪声水平升高的环境中工作时,血脂谱会出现一些变化。所发现的变化可能表明血清中的致动脉粥样硬化潜能有所增加。
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Features of the blood lipid spectrum in men exposed to elevated noise levels
Dyslipidemia is the main factor in the initiation and progression of atherosclerosis. The search for probable factors aff ecting  lipid metabolism is relevant. The aim of the study was to evaluate the parameters of lipid metabolism in the blood serum  of men exposed to elevated noise levels. Material and methods. 293 men with no confi rmed atherosclerotic cardiovascular  diseases were examined. Among the surveyed, 2 groups were identifi ed: 203 men who work under the infl uence of noise, and  90 men who do not come into contact with harmful production factors. Total cholesterol, triglycerides, low- and high-density  lipoproteins, and the level of oxidized low-density lipoproteins were determined. Remnant cholesterol, atherogenic index and  atherogenic plasma index were calculated. Results. Among persons under 55 years of age working in noise, an increase in total  cholesterol (p = 0.02) and remnant cholesterol (p = 0.0006), a decrease in high-density lipoproteins (p = 0.03) and a tendency  to increase the atherogenic index (p = 0.05) and the atherogenic plasma index (p = 0.07) were revealed. The prevalence  of hypercholesterolemia was comparable in the main and control groups and amounted to 56.7 and 47.4%, respectively  (p = 0.17). The median level of oxidized low-density lipoproteins in people working with noise did not exceed the upper limit  of the norm. Conclusions. In men younger than 55 years old, working under conditions of exposure to increased noise levels,  some features of the blood lipid spectrum are observed. The revealed changes may indicate an increase in the atherogenic  potential of the blood serum
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