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吸烟对高血压患者同型半胱氨酸水平的影响
引用本文:骆景光,杨明,韩凌,陈欣,赵燕,陈立伟,陈萍,李晓红. 吸烟对高血压患者同型半胱氨酸水平的影响[J]. 中国心血管杂志, 2012, 17(6): 434-436
作者姓名:骆景光  杨明  韩凌  陈欣  赵燕  陈立伟  陈萍  李晓红
作者单位:首都医科大学附属复兴医院心脏中心,北京,100038
摘    要:目的探讨吸烟对高血压患者同型半胱氨酸(Hcy)水平的影响。方法共入选高血压住院患者118例,分为吸烟组50例和不吸烟组68例。采用循环酶法测定空腹血浆Hcy水平。结果 (1)与不吸烟组比较,吸烟组高血压患者血浆Hcy水平明显升高[(16.74±3.60)μmol/L比(9.64±3.12)μmol/L,P<0.01],H型高血压患者比例明显升高(48.0%比8.8%,P<0.001);(2)Logistic回归分析显示,吸烟史是高Hcy血症的独立危险因素(OR=6.269,95%CI 1.503~26.154,P<0.05)。结论吸烟可能是导致高血压患者血浆Hcy水平升高的独立危险因素。

关 键 词:吸烟  高血压  同型半胱氨酸  高同型半胱氨酸血症

Influence of smoking on homocysteine levels in hypertensive patients
LUO Jing-guang , YANG Ming , HAN Ling , CHEN Xin , ZHAO Yan , CHEN Li-wei , CHEN Ping , LI Xiao-hong. Influence of smoking on homocysteine levels in hypertensive patients[J]. Chinese Journal of Cardiovascular Medicine, 2012, 17(6): 434-436
Authors:LUO Jing-guang    YANG Ming    HAN Ling    CHEN Xin    ZHAO Yan    CHEN Li-wei    CHEN Ping    LI Xiao-hong
Affiliation:.Department of Cardiology,Fuxing Hospital of the Capital University of Medical Sciences,Beijing 100038,China
Abstract:Objective To explore the influence of smoking on homocysteine(Hcy) levels in patients with hypertension.Methods A total of 118 hypertensive patients were classified as smoking group(n=50) and non-smoking group(n=68).Plasma Hcy level was determined by HPLC.Results(1) Plasma Hcy level was significantly higher in smoking group than in non-smoking group [(16.74±3.60) μmol/L vs.(9.64±3.12) μmol/L,P<0.01],proportion of type H hypertension was significantly higher in smoking group(48.0%) than that in non-smoking group(8.8%,χ2=23.324,P<0.001);(2) Logistic analysis showed that smoking was independent risk factor for Hyperhomocysteinemia(OR=6.269,95%CI 1.503-26.154,P<0.05).Conclusions Smoking may be an independent risk factor for the increase of plasma Hcy level in patients with hypertension.
Keywords:Smoking  Hypertension  Homocysteine  Hyperhomocysteinemia
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