相关实验视频
Updated: Feb 23, 2026

06:47
Isolation and Analysis of Plasma Lipoproteins by Ultracentrifugation
Published on: January 28, 2021
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脂蛋白的个体内变异性 (a)
Lakshmi Lakkineni1, Matthew Waite2, Alessia David3
1Division of Diabetes, Endocrinology and Metabolism, Imperial College London, London, UK (Lakkineni, Waite, Dr Jones, and Dr Cegla).
Journal of clinical lipidology
|February 21, 2026
概括
通常不需要重复脂蛋白 (Lp) 检测,因为个体内变异往往超过实验室标准. 然而,对于临近风险值的患者,请考虑重复Lp(a) 测试,或者考虑Lp(a) 降低疗法.
科学领域:
- 心血管医学 心血管医学
- 临床化学 临床化学
- 实验室医学 实验室医学
背景情况:
- 脂蛋白 (Lp) 是动脉样硬化心血管疾病的关键独立风险因素.
- 虽然Lp (a) 水平通常稳定,但个体内变化的程度和重复测试的必要性仍然不清楚.
研究的目的:
- 为了评估Lp (a) 水平的个体内变化.
- 评估重复Lp (a) 测试对心血管风险分类的临床影响.
主要方法:
- 对250名至少有两次Lp (a) 测量的患者进行了回顾性分析.
- 测量时间平均为17.1 ± 15.5个月,在第三级保健脂质诊所进行测量.
主要成果:
- 对于Lp的个体内变化系数 (CV) 超过了实验室标准.
- 心血管风险重新分类发生在12.4% (NLA值) 和6.8% (ESC值) 的情况下.
- 变性与测试,药物或生物化学参数之间的时间无关.
结论:
- 重复Lp (a) 测试通常不需要.
- 考虑对接近风险值的个体进行重复测试,或者对Lp降低疗法进行评估的人进行重复测试.
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