高血压急症发病的相关影响因素探讨

汪绪伦; 方军; 严林虎; 陈锦江; 高艺

文章摘要

汪绪伦,方军,严林虎,等.高血压急症发病的相关影响因素探讨[J].安徽医药,2017,21(9):1629-1631.

高血压急症发病的相关影响因素探讨

The study of related influencing factors of hypertension emergenciesWANG Xulun,FANG Jun,YAN Linhu,CHEN Jinjiang,GAO Yi (Department of Emergency,Hengli Hospital of Dongguan,Dongguan,Guangdong 523460,China) Abstract:Objective

投稿时间：2016-10-23

DOI：

中文关键词: 高血压急症 C-反应蛋白低密度脂蛋白胆固醇体质量指数糖化血红蛋白

英文关键词: Hypertensive CRP LDL-C BMI HbA₁C

基金项目:广东省东莞市卫生科技计划项目(2014105101099)

作者	单位
汪绪伦	东莞市横沥医院重症医学科,广东东莞 523460
方军	东莞市横沥医院重症医学科,广东东莞 523460
严林虎	东莞市横沥医院重症医学科,广东东莞 523460
陈锦江	东莞市横沥医院重症医学科,广东东莞 523460
高艺	东莞市横沥医院重症医学科,广东东莞 523460

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中文摘要:

目的探讨高血压急症患者发病的相关临床影响因素,为防治高血压急症提供临床指导。方法采用随机数字表法选择高血压急症患者30例,血压符合高血压急症标准[收缩压>200 mmHg和(或)舒张压>130 mmHg],非高血压急症患者30例,年龄60～75岁。入院后第2天监测两组患者C-反应蛋白(CRP)、低密度脂蛋白胆固醇(LDL-C)、全血糖化血红蛋白(HbA₁C)、体质量指数(BMI)和颈动脉狭窄水平,比较上述两组间5项指标的水平。结果高血压急症组颈动脉狭窄发生率(36.7%)大于非高血压急症组(13.3%),差异有统计学意义(P<0.05)。高血压急症组CRP水平[(9.54±5.47) mg·L-1]大于非高血压急症组[(4.10±2.40) mg·L-1],差异有统计学意义(P<0.05)。LDL-C、HbA₁C、BMI等3项指标在两组间差异无统计学意义(P>0.05)。结论高血压急症患者颈动脉狭窄发生率、血清CRP水平高于非高血压急症患者,可能是高血压急症的危险因素。

英文摘要:

Objective To investigate related influencing factors of hypertensive emergency in order to prevent and cure hypertensive emergency. Methods Sixty patients,aged 60-75 yr,were randomly assigned into two groups (n=30):hypertensive emergency group [contractive pressure >200 mmHg and (or) diastolic pressure>130 mmHg] and non-hypertensive emergency group.Patients were monitored in C-reactive protein (CRP),low density lipoprotein cholesterol (LDL-C),whole human blood diastatic hemoglobin (HbA₁C),baric index (BMI) and incidence rate of carotid artery stenosis after two days in Department of Emergency,Hengli Hospital of Dongguan. Results The incidence rate of carotid artery stenosis (36.7%) and level of CRP [(9.54±5.47) mg·L-1]in the hypertensive emergency group were higher than those in the non-hypertensive emergency group (13.3%) and level of CRP [(4.10±2.40) mg·L-1]) (P<0.05).LDL-C,HbA₁C and BMI had no differences in two groups (P>0.05). Conclusions The incidence rate of carotid artery stenosis and the level of serum CRP in the hypertensive emergency group were higher than those in the non-hypertensive emergency group,which may be risk factors of hypertensive emergency.

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