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空腹血糖正常的原发性高血压患者糖代谢异常状况研究
引用本文:王杰萍,王青,吕卫华,王鹏. 空腹血糖正常的原发性高血压患者糖代谢异常状况研究[J]. 临床荟萃, 2011, 26(10): 833-835
作者姓名:王杰萍  王青  吕卫华  王鹏
作者单位:首都医科大学附属复兴医院老年心内科,北京,100038
摘    要:
目的研究原发性高血压伴有糖代谢异常患者的各项指标,为全面干预心血管危险因素提供依据。方法选择既往无糖代谢异常病史,空腹血糖〈5.6 mmol/L的原发性高血压患者398例,测定口服葡萄糖耐量试验(OGTT)后2小时血糖(2 hPG)水平。观察年龄、性别、体质量指数、血压、血脂、尿酸、动脉硬化等参数与OGTT后2hPG的关系。结果 398例患者中检出糖耐量减低99例(24.9%);2型糖尿病52例(13.1%)。糖代谢异常的患者动脉硬化的比例(71.5%)高于血糖正常组(52.6%)。结论原发性高血压患者合并糖代谢异常的比例高,对于空腹血糖正常的原发性高血压患者,应常规行OGTT测定,以早期发现和干预糖代谢紊乱,减少动脉硬化的发生。

关 键 词:高血压  血糖  葡糖耐量试验

Incidence of impaired glucose tolerance in essential hypertension patients without diabetes mellitus history and with normal fasting glucose
WANG Jie-ping,WANG Qing,LV Wei-hua,WANG Peng. Incidence of impaired glucose tolerance in essential hypertension patients without diabetes mellitus history and with normal fasting glucose[J]. Clinical Focus, 2011, 26(10): 833-835
Authors:WANG Jie-ping  WANG Qing  LV Wei-hua  WANG Peng
Affiliation:WANG Jie-ping,WANG Qing,LV Wei-hua,WANG Peng Department of Elderly Cardiology,Fu Xing Hospital affiliated to Capital Medical University,Beijing 100038,China
Abstract:
Objective To observe the incidence of impaired glucose tolerance in essential hypertension patients without diabetes mellitus history and with normal fasting glucose.Methods A total of 398 patients with essential hypertension without diabetes mellitus(DM) history and with normal fasting blood glucose(FBG<5.6 mmol/L) were included in this epidemiologic cross-sectional survey,and the patients received oral glucose tolerance test(OGTT) for screening study.Associations between postprandial blood sugar and age,g...
Keywords:hypertension  blood glucose  glucose tolerance test  
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