肾小球疾病患者高血压病患病率的影响因素分析

目的：探讨肾小球疾病患者合并高血压病的发生率及其影响因素。方法：回顾分析3003倒肾活检和临床确诊的肾小球疾病患者的临床、病理及实验室检查资料。结果：（1）合并高血压病的率为48．6％（中度和重度高血压病占36．5％），其中不同肾病理类型患者高血压发生率糖尿病肾病（DN）最高（84．3％），微小病变肾病（MCD）最低（26．70o）；不同职业患者高血压痛发生率农民最高（56．7％），学生最低（16．8％）。高血压病知晓率为49．1％，控制率（血压〈140／90mmHg）为19．4％；（2）伴高血压病者的血钠和心电图异常发生率明显升高；（3）高尿酸血症、高血压痛家族史、超重或肥胖、空腹血糖水平、慢性肾病（CKD）分期、病程、年龄、肾小球硬化、肾内血管病变及间质小管病变均影响高血压病的发生。结论：半数肾小球疾病患者伴高血压病，但高血压病知晓率和控制率均低。高尿酸血症、高血压病家族史、超重或肥胖、糖代谢异常、病程长、增龄、肾功能差及肾组织慢性病变程度重均是发生高血压病的独立危险因素。

Prevalence and Risk Factors of Hypertension in Renal Glomerular Disease Patients

Objective:To evaluate the prevalence and the risk factors of hypertension in renal glomerular disease patients verifacated by renal biopsy.Methods: The clinical and pathological data were collectded and analyzed for 3003 patients with renal glomerular disease.Results:(1)The prevalence of hypertension was 48.6%,in which the ratio of modolate and severe hypertension was 36.5%;the highest rate of hypertension was in diabetic nephropathy(84.3%),the lowest in minimal change disease(26.7%);the highest rate was in...