帕金森病和特发性震颤的血清胆固醇和甘油三酯

B. Ivanov, A. Kaprelyan, Ivan Dimitrov, Margarita Grudkova, N. Usheva, V. Nestorova, N. Deleva
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摘要

脂质代谢在帕金森病发病机制中的作用仍有争议。大多数作者认为,脂质代谢在帕金森病发病机制中的作用仍存在争议。大多数作者认为,较高的血清胆固醇可能与较低的帕金森病风险有关。关于特发性震颤是否与帕金森病有相似的神经病理机制存在争议。我们研究了帕金森病与特发性震颤患者临床环境中的血清总胆固醇和甘油三酯水平。选取保加利亚瓦尔纳圣玛丽娜大学医院神经内科第一门诊住院7年的帕金森病患者116例(男性126例),年龄68.04岁,病程4.58年;特发性震颤患者342例(男性118例),年龄69.39岁,病程5.3年。我们发现原发性震颤患者血清总胆固醇和甘油三酯水平升高不显著。结果仅在性别水平上有统计学差异,男性胆固醇升高,女性甘油三酯升高。我们的研究结果可能表明帕金森病和特发性震颤的不同病理生理机制。进一步的研究可能会阐明脂质代谢变化在这两种疾病中的作用。Biomed Rev 2015;26: 43-46。关键词:血清总胆固醇,甘油三酯,帕金森病,特发性震颤
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SERUM CHOLESTEROL AND TRIGLYCERIDES IN PARKINSON'S DISEASE AND ESSENTIAL TREMOR
The role of lipid metabolism in the pathogenesis of Parkinson`s disease is still controversial. Most authors suggest that higher The role of lipid metabolism in the pathogenesis of Parkinson`s disease is still controversial. Most authors suggest that higher serum cholesterol may be associated with a lower risk of Parkinson`s disease. Debates exist as to whether essential tremor shares similar neuropathological mechanisms as Parkinson`s disease. We investigated serum total cholesterol and triglyceride levels in a clinical setting of Parkinson`s disease versus essential tremor patients. Two hundred and sixteen Parkinson`s disease patients (126 males), aged 68.04 years, with 4.58 years disease duration and 342 essential tremor patients (118 males), aged 69.39 years, with 5.3 years disease duration were included, hospitalized during a period of 7 years in First Clinic of Neurology, University St Marina Hospital, Varna, Bulgaria. We found insignificantly higher levels of serum total cholesterol and triglyceride in essential tremor patients. Results differ statistically only on gender level with increased cholesterol in males and triglycerides in females. Our findings may indicate divergent pathophysiological mechanisms underlying Parkinson`s disease and essential tremor. Further research may elucidate the role of lipid metabolism changes in both diseases. Biomed Rev 2015; 26: 43-46. Key words: serum total cholesterol, triglycerides, Parkinson`s disease, essential tremor
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