山东医药
山東醫藥
산동의약
SHANDONG MEDICAL JOURNAL
2014年
28期
10-13
,共4页
王靖炫%区文超%周志衡%刘本荣%康安
王靖炫%區文超%週誌衡%劉本榮%康安
왕정현%구문초%주지형%류본영%강안
尿酸%高血压%心电图缺血性ST-T改变%民警
尿痠%高血壓%心電圖缺血性ST-T改變%民警
뇨산%고혈압%심전도결혈성ST-T개변%민경
uric acid%hypertension%electrocardiogram ischemic ST-T changes%policemen
目的:探讨广州民警血清尿酸( UA)水平与高血压及心电图缺血性ST-T改变的关系。方法广州市海珠区公安民警2120例,按照血清UA水平分为4个组:UA<349μmol/L为低水平组,UA 349~408μmol/L为中等较低水平组,UA 409~472μmol/L为中等较高水平组,UA>472μmol/L为高水平组。比较各组血压、心电图缺血性ST-T改变及TG、CHOL、LDL-C、HDL-C、空腹血糖( FBG )、ALT、AST、UA、肌酐( CRE )水平。结果高血压335例,UA水平为(445.6±99.2)μmol/L;非高血压1785例,UA水平为(406.6±93.5)μmol/L;P<0.01。无心电图缺血性ST-T改变1938例,UA水平为(414.9±93.9)μmol/L;有缺血性ST-T改变182例,UA水平为(386.0±106.1)μmol/L;P<0.01。多因素非条件性Logistic回归分析发现,年龄、Hb、RBC、ALT、TG、UA、ST-T改变、B超脂肪肝表现可能是高血压病的危险因素;DBP、GLU、AST可能是心电图缺血性ST-T改变的危险因素。结论广州市海珠区公安民警血压水平及高血压病发病率随UA水平升高而升高,UA可能是高血压病独立危险因素。 UA在低水平及高水平可能导致心电图缺血性ST-T改变发生率升高;但当UA达到一定高水平后,心电图缺血性ST-T改变发生率可能有所回落。
目的:探討廣州民警血清尿痠( UA)水平與高血壓及心電圖缺血性ST-T改變的關繫。方法廣州市海珠區公安民警2120例,按照血清UA水平分為4箇組:UA<349μmol/L為低水平組,UA 349~408μmol/L為中等較低水平組,UA 409~472μmol/L為中等較高水平組,UA>472μmol/L為高水平組。比較各組血壓、心電圖缺血性ST-T改變及TG、CHOL、LDL-C、HDL-C、空腹血糖( FBG )、ALT、AST、UA、肌酐( CRE )水平。結果高血壓335例,UA水平為(445.6±99.2)μmol/L;非高血壓1785例,UA水平為(406.6±93.5)μmol/L;P<0.01。無心電圖缺血性ST-T改變1938例,UA水平為(414.9±93.9)μmol/L;有缺血性ST-T改變182例,UA水平為(386.0±106.1)μmol/L;P<0.01。多因素非條件性Logistic迴歸分析髮現,年齡、Hb、RBC、ALT、TG、UA、ST-T改變、B超脂肪肝錶現可能是高血壓病的危險因素;DBP、GLU、AST可能是心電圖缺血性ST-T改變的危險因素。結論廣州市海珠區公安民警血壓水平及高血壓病髮病率隨UA水平升高而升高,UA可能是高血壓病獨立危險因素。 UA在低水平及高水平可能導緻心電圖缺血性ST-T改變髮生率升高;但噹UA達到一定高水平後,心電圖缺血性ST-T改變髮生率可能有所迴落。
목적:탐토엄주민경혈청뇨산( UA)수평여고혈압급심전도결혈성ST-T개변적관계。방법엄주시해주구공안민경2120례,안조혈청UA수평분위4개조:UA<349μmol/L위저수평조,UA 349~408μmol/L위중등교저수평조,UA 409~472μmol/L위중등교고수평조,UA>472μmol/L위고수평조。비교각조혈압、심전도결혈성ST-T개변급TG、CHOL、LDL-C、HDL-C、공복혈당( FBG )、ALT、AST、UA、기항( CRE )수평。결과고혈압335례,UA수평위(445.6±99.2)μmol/L;비고혈압1785례,UA수평위(406.6±93.5)μmol/L;P<0.01。무심전도결혈성ST-T개변1938례,UA수평위(414.9±93.9)μmol/L;유결혈성ST-T개변182례,UA수평위(386.0±106.1)μmol/L;P<0.01。다인소비조건성Logistic회귀분석발현,년령、Hb、RBC、ALT、TG、UA、ST-T개변、B초지방간표현가능시고혈압병적위험인소;DBP、GLU、AST가능시심전도결혈성ST-T개변적위험인소。결론엄주시해주구공안민경혈압수평급고혈압병발병솔수UA수평승고이승고,UA가능시고혈압병독립위험인소。 UA재저수평급고수평가능도치심전도결혈성ST-T개변발생솔승고;단당UA체도일정고수평후,심전도결혈성ST-T개변발생솔가능유소회락。
Objective To discuss the relationships between uric acid ( UA) and hypertension or electrocardiogram is-chemic ST-T changes of Guangzhou policemen .Methods Totally 2 120 policemen of Haizhu District of Guangzhou were di-vided into four groups according to their UA levels as following: UA<349 μmol/L was the low level group , UA 349-408μmol/L was the medium relatively low group , UA 409-472μmol/L was the medium relatively high level group and UA >472μmol/L was the high level group .The blood pressure, the incidence of ECG ischemic ST-T changes, TG, CHOL, LDL-C, HDL-C, fast blood glucose (FBG), ALT, AST, UA, creatinine (CRE) levels between those groups were compared and ana-lyzed.Results There were 335 cases suffering hypertension , whose UA levels were (445.6 ±99.2) μmol/L; and there were 1 785 cases without hypertension , whose UA levels were (406.6 ±93.5)μmol/L (P<0.01).There were 1 938 cases without ischemic ECG ST-T changes, whose UA levels were (414.9 ±93.9) μmol/L;and there were 182 cases with ische-mic ECG ST-T changes, whose UA levels were (386.0 ±106.1) μmol/L;P<0.01.Multivariate unconditional logistic re-gression analysis suggested that age , Hb, RBC, ALT, TG, UA, ST-T changes and fatty liver of B ultrosound all might be the risk factors for hypertension;DBP, GLU and AST might be the risk factors for ischemic ECG ST-T changes.Conclusions Both of the blood pressure levels and prevalence of hypertension rise with the increase of UA levels .UA may be an independ-ent factor for hypertension .Either of the low levels or high levels of UA may increase the incidence of ECG ischemic ST -T changes.But when UA reaches a certain high level , the incidence of ECG ischemic ST-T changes may decline.