目的：分析单项血脂和血脂比值与翼状胬肉的关系。

方法：采用回顾性病例研究。纳入2016-01/2019-02在我院眼科和体检中心确诊的翼状胬肉患者500例(翼状胬肉组)和同期进行健康体检、年龄和性别匹配的健康体检者500例(正常对照组)，检测两组研究对象外周静脉血中血清甘油三酯(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)水平，计算TG/HDL、TC/HDL、LDL/HDL的比值。

结果：翼状胬肉患者500例中，血脂异常者68.2%(341/500)，翼状胬肉组血清TG、TC、LDL-C水平和TG/HDL、TC/HDL、LDL/HDL的比值均明显高于正常对照组(P<0.001)，血清HDL水平低于正常对照组，但无差异(P>0.05)。Logistic回归分析提示，TG(OR=4.132)、TC(OR=2.194)、TG/HDL(OR=2.184)、TC/HDL(OR=2.007)均是翼状胬肉发病的影响因素(P<0.05)。

结论：血脂代谢异常是翼状胬肉发病的影响因素，加强血脂管理对翼状胬肉患者的发病和治疗均具有重要的临床意义。

METHODS: Based on the retrospective study, 500 pterygium patients who were admitted to the department of ophthalmology and had finished physical examination in the physical examination center of Zhongnan Hospital of Wuhan University from January 2016 to February 2019 were included. As well as 500 people who underwent health examination and were matched in age and gender at the same time. The serum levels of triglycerides(TG), total cholesterol(TC), low density lipoprotein cholesterol(LDL-C), and high-density lipoprotein cholesterol(HDL-C), were measured by professionals in hospital. TG/HDL, TC/HDL, LDL/HDL were calculated and analyzed statistically between the two groups.

RESULTS: Among the 500 patients with pterygium, abnormal serum lipid content accounted for 68.2%(341/500). TG, TC, LDL-C level and TG/HDL, TC/HDL and LDL/HDL were higher in pterygium group than control, and with statistically significant differences(P<0.001). While serum HDL level was lower than that in control group and with no statistically significant differences(P>0.05). According to Logistic analysis, TG(OR=4.132), TC(OR=2.194), TG/HDL(OR=2.184)and TC/HDL(OR=2.007)were risk factors for pterygium(P<0.05).

CONCLUSION: Dyslipidemia is an important factor in the pathogenesis of pterygium. It is very necessary for the patients with pterygium to control the level of blood lipids because it has important clinical significance for the attack and treatment of them.