摘要
目的研究高血压病老年患者的血压、血脂、血糖、脂肪肝间所具有的关系。方法选出中国人民解放军临潼康复疗养中心在2015年5月—2018年10月的152例高血压病老年患者,将其作为A组,另选出在此基础之上在2015年5月—2018年10月的106例健康体检者,将其作为B组,运用台式标准汞柱式血压计监测右上臂中的血压,运用全自动生化分析仪监测血糖、血脂,运用超声仪监测脂肪肝,观察比较其结果。结果 A组患者在监测后其空腹血糖(FSG)、甘油三脂(TG)依次就是(6.25±2.50)mmol/L、(5.20±2.12)mmol/L,大于B组依次就是(5.91±2.26)mmol/L、(5.24±2.10)mmol/L(P<0.05)。A组患者在监测后其高密度脂蛋白胆固醇(HDL-C)即为(1.35±0.30)mmol/L,低于B组即为(1.39±0.45)mmol/L,而低密度脂蛋白胆固醇(LDL-C)即为(3.44±1.02)mmol/L,大于B组即为(3.29±1.00)mmol/L(P<0.05)。A组患者在监测后其总胆固醇(TC)即为(5.20±2.12)mmol/L,对比B组即为(5.24±2.10)mmol/L(P>0.05)。A组患者在监测后其脂肪肝的总发生率即为46.05%,大于B组即为35.85%(P<0.05)。结论对于高血压病老年患者来说,高血糖、高血脂、脂肪肝都是引发老年高血压病的高危因素,临床中要特别注重这类因素,并据此对患者开展更具针对性且科学性的治疗与干预。
Objective To study the relationship among blood pressure,blood lipid,blood glucose and fatty liver in elderly patients with hypertension.Methods Select the hospital in May 2016-October 2019,152 cases of hypertension in elderly patients,as group A,the other selected on this basis,in May2015-October 2018 of the 106 cases of healthy physical examination,as group B,using the standard desktop mercury column type sphygmomanometer monitor blood pressure of right upper arm,using automatic biochemical analyzer monitoring blood sugar,blood lipid,using ultrasonic instrument monitoring fatty liver,and the results were observed and compared.Results Fasting blood glucose(FSG)and triglyceride(TG)of patients in group A were(6.25±2.50)mol/L and(5.20±2.12)mol/L,while those in group B were(5.91±2.26)mmol/L,(5.24±2.10)mmol/L(P<0.05).After monitoring,the high-density lipoprotein cholesterol(HDL-c)of patients in group A was(1.35±0.30),which was lower than(1.39±0.45)mmol/L of patients in group B.The low density lipoprotein cholesterol(LDL-c)of patients in group A was(3.44±1.02)mmol/L,which was higher than(3.29±1.00)mmol/L in group B(P<0.05).After monitoring,the total cholesterol(TC)of patients in group A was(5.20±2.12)mmol/L,while that of group B was(5.24±2.10)mmol/L(P>0.05).After monitoring,the total incidence of fatty liver of patients in group A was 46.05%,higher than that in group B(35.85%)(P<0.05).Conclusion For elderly patients with hypertension,hyperglycemia,hyperlipidemia and fatty liver are high risk factors for hypertension in the elderly,and special attention should be paid to such factors in clinical practice,so as to carry out more targeted and scientific treatment and intervention for patients.
作者
张秀芬
郝海水
ZHANG Xiufen;HAO Haishui(People's Liberation Army Lintong Rehabilitation Center,Xi'an 710600,China)
出处
《实用心脑肺血管病杂志》
2019年第S1期122-124,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
血糖
关系
高血压病
影响
血脂
脂肪肝
Blood glucose
Relationship
Hypertension
Influence
Blood lipid
Fatty liver disease
