CAJ | 학술논문

目的：探讨社区高血压患者的血清胱抑素C的异常率并分析其危险因素。方法随机抽取社区规范管理的151例高血压早期肾损害的患者，检测血压、体重指数、尿微量白蛋白、血糖、血脂和血清胱抑素C的水平，并与其他研究结果进行比较分析。结果151例高血压早期肾损害的患者中血清胱抑素C升高的例数为111例，男62例（88.6%），女49例（60.5%），男性明显高于女性（P＜0.05）。多因素Logistic回归分析显示：年龄增长、男性、吸烟、病程长、治疗效果差、血尿酸高、肌酐高是血清胱抑素C升高的危险因素。结论社区高血压管理的患者肾脏早期损害的比例较高，要早期进行检测并改善其危险因素。
목적：탐토사구고혈압환자적혈청광억소C적이상솔병분석기위험인소。방법수궤추취사구규범관리적151례고혈압조기신손해적환자，검측혈압、체중지수、뇨미량백단백、혈당、혈지화혈청광억소C적수평，병여기타연구결과진행비교분석。결과151례고혈압조기신손해적환자중혈청광억소C승고적례수위111례，남62례（88.6%），녀49례（60.5%），남성명현고우녀성（P＜0.05）。다인소Logistic회귀분석현시：년령증장、남성、흡연、병정장、치료효과차、혈뇨산고、기항고시혈청광억소C승고적위험인소。결론사구고혈압관리적환자신장조기손해적비례교고，요조기진행검측병개선기위험인소。
Objective In order to describe the rate of Cystatin C and analyze the risk factors of it in hypertension patients in Dahua community, Baoshan Direction of Shanghai.Methods 151 cases of the hypertension patients with kidney damage were randomly selected in community management, testing blood pressure, BMI, UMA, blood glucose, blood lipids and Cystatin C, etc. Compare the results with other research.Results 151 hypertension patients with kidney damage were interviewed and tested. Survey results showed that in 151 cases of patients with high blood pressure, abnormal CysC cases are 111.62 cases of male(88.6%), 49 cases(60.5%) of women which were significantly lower than women(P<0.05). Along with the age increase, the CysC rise rate also increased. Logistic analysis showed that age, male, smoking, long duration and poor treatment effect, high blood uric acid and creatinine are risk factors for CysC.ConclusionCommunity hypertension management of patients with early renal damage ratio is higher, to early detection and to improve its risk factors.