What are the methods for interpreting blood lipid test reports?

At present, the commonly used laboratory tests in clinical practice mainly include six items: total cholesterol, triglycerides, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, apolipoprotein A1, apolipoprotein B, etc. Next, let me introduce the interpretation method of blood lipid test report?

TC stands for plasma total cholesterol, and T-CHO is also used to represent plasma total cholesterol.

TG stands for triglycerides, while HDL-C represents high-density lipoprotein cholesterol in plasma.

LDL-C: Represents low-density lipoprotein cholesterol in plasma.

ApoAl: represents apolipoprotein A1 in plasma.

ApoB: represents apolipoprotein B in plasma.

The normal values of these indicators are generally as follows: total plasma cholesterol: 3.36-5. 78mmol/L(130~200mg/dl)。

Plasma triglycerides: 0.45-1.81mmol/L (40-160mg/dl) for males; Female is 0.23-1.22mmol/L (20-108mg/dL); Low density lipoprotein cholesterol in plasma: 0.9-2.19 mmol/L (35-85 mg/dL); Low density lipoprotein cholesterol in plasma: 3.12mmol/L (120mg/dL); Apolipoprotein B: 69~99mg/dl; When the above values on the blood lipid test report exceed the normal range, the first thing to check is whether the blood sample was taken on an empty stomach. Generally, patients are required to start fasting at 10 pm the night before blood collection and have venous blood collected from 9 am to 10 am the next day. Secondly, attention should also be paid to the alcohol consumption of the subjects, as alcohol consumption can significantly increase the concentration of lipoproteins rich in triglycerides and high-density lipoprotein in the plasma. Again, lipid and lipoprotein levels themselves have significant biological fluctuations, some of which are caused by seasonal changes, menstrual cycles, and accompanying diseases.

Total cholesterol: increased, commonly seen in biliary obstruction, nephrotic syndrome, chronic glomerulonephritis, amyloidosis, atherosclerosis, hypertension, diabetes, hypothyroidism, infectious hepatitis, portal cirrhosis, some chronic pancreatitis, spontaneous hypercholesterolemia, familial high a-lipoproteinemia, senile cataract, psoriasis, etc. Reduced, commonly seen in severe anemia, acute infections, hyperthyroidism, steatosis, tuberculosis, congenital serum lipoprotein deficiency, and malnutrition.

Triglyceride: increased, commonly seen in hyperlipidemia, atherosclerosis, coronary heart disease, diabetes, nephrotic syndrome, biliary obstruction, hypothyroidism, acute pancreatitis, glycogen accumulation, and primary triglyceride increase. A decrease in high-density lipoprotein cholesterol often indicates a higher risk of coronary heart disease.

The increase of low-density lipoprotein cholesterol often indicates that people are prone to coronary heart disease and cerebrovascular disease caused by atherosclerosis. ApoA and ApoB in apolipoprotein can be used to estimate the risk of cardiovascular and cerebrovascular diseases. The decrease of high-density lipoprotein ApoA and the increase of ApoB are most significant in cardiovascular and cerebrovascular diseases, and are also seen in hyperlipidemia and other abnormal lipoproteins. The interpretation method of the blood lipid test report includes the final explanation that due to differences in the methods used and experimental conditions, the normal values of various indicators may not be completely the same in different medical units. In general, normal reference values are marked on the laboratory test report to compare whether the measured indicators exceed the normal range.

Reminder: Experts remind that drinking alcohol can significantly increase the concentration of lipoproteins rich in triglycerides and high-density lipoprotein in plasma. Again, lipid and lipoprotein levels themselves have significant biological fluctuations, some of which are caused by seasonal changes, menstrual cycles, and accompanying diseases.