高血压前期的血压水平与多代谢异常的关系

目的探索高血压前期的血压水平和多代谢异常的关系。方法以2004年江苏省多代谢异常和代谢综合征综合防治研究基线资料，分单纯收缩压（SBP）高血压前期组（585例）、合并SBP和舒张压（DBP）高血压前期组（746例）、单纯DBP高血压前期组（340例）及理想血压组（1755人）的多代谢异常情况进行病例对照研究。结果三个病例组合并甘油三酯（TG）、体重指数（BMI）、腰围（WC）异常的危险性都明显高于对照组。高血压前期组有50％，对照组有35％至少合并一项代谢异常。结论高血压前期人群高TG血症是最常见的。WC、BMI、年龄和高血压前期有强的联系；高血压前期已经具有心血管危险因素的聚集。

The relation between blood pressure level in prehypertensives and multiple metabolic disorders

Objective To study the relation between blood pressure level in prehypertensives and multiple metabolic disorders. Methods Based on the populations in Jiangsu province from the project of Multiple Metabolic Disorders and Metabolic Syndrome, a case-control study was conducted including 585 cases of isolated systolic prehypertensive, 746 cases of diastolic-systolic prehypertensive, 340 cases of isolated diastolic prehypertensive and 1755 individuals with normal blood pressure. Results The occurrence of triglyceride(TG) ,body mass index(BMI) and waist circumference(WC) disorders were significantly higher in the three case groups than in the normal blood pressare group. Among case groups, 50 % of them had at least one more metabolic abnormalities as compared to 35% in the controls. Conclusion Among patients in prehypertensive stage,TG disorder was most popular in multiple metabolic disorders. Prehypertensive was associated with WC,BMI and age, indicating that there had already been collections of cardiovascular risk factors in the prehypertensive stage.