中西医结合心脑血管病杂志
中西醫結閤心腦血管病雜誌
중서의결합심뇌혈관병잡지
CHINESE JOURNAL OF INTEGRATIVE MEDICINE ON CARDIO-/CEREBROVASCULAR DISEASE
2015年
4期
433-436
,共4页
原发性高血压%血尿酸%心脏重构
原髮性高血壓%血尿痠%心髒重構
원발성고혈압%혈뇨산%심장중구
hypertension%serum uric acid%cardiac remodeling
目的：采用多普勒超声观察中老年原发性高血压患者血尿酸(SUA)水平增高对心脏结构的影响。方法将134例符合纳入标准的原发性高血压患者根据 SUA水平分为非高尿酸血症组、高尿酸血症组,所有对象均检测 SUA,并进行心脏超声检测。结果 SUA与室间隔厚度(IVS)、室间隔厚度/左室后壁厚度(IVS/ PWT)值呈正相关(r=0.303,P<0.01；r=0.266,P<0.05)。高尿酸血症组 IVS、IVS/PWT及左房舒张末内径(LAD)值较非高尿酸血症组明显增大(P<0.05)。结论血 SUA水平增高可能促使高血压左心室及左心房的重构。
目的：採用多普勒超聲觀察中老年原髮性高血壓患者血尿痠(SUA)水平增高對心髒結構的影響。方法將134例符閤納入標準的原髮性高血壓患者根據 SUA水平分為非高尿痠血癥組、高尿痠血癥組,所有對象均檢測 SUA,併進行心髒超聲檢測。結果 SUA與室間隔厚度(IVS)、室間隔厚度/左室後壁厚度(IVS/ PWT)值呈正相關(r=0.303,P<0.01；r=0.266,P<0.05)。高尿痠血癥組 IVS、IVS/PWT及左房舒張末內徑(LAD)值較非高尿痠血癥組明顯增大(P<0.05)。結論血 SUA水平增高可能促使高血壓左心室及左心房的重構。
목적：채용다보륵초성관찰중노년원발성고혈압환자혈뇨산(SUA)수평증고대심장결구적영향。방법장134례부합납입표준적원발성고혈압환자근거 SUA수평분위비고뇨산혈증조、고뇨산혈증조,소유대상균검측 SUA,병진행심장초성검측。결과 SUA여실간격후도(IVS)、실간격후도/좌실후벽후도(IVS/ PWT)치정정상관(r=0.303,P<0.01；r=0.266,P<0.05)。고뇨산혈증조 IVS、IVS/PWT급좌방서장말내경(LAD)치교비고뇨산혈증조명현증대(P<0.05)。결론혈 SUA수평증고가능촉사고혈압좌심실급좌심방적중구。
Objective To investigate the effect of serum uric acid(SUA)on the structure of the heart in middle aged and elderly pa-tients with hypertension.Methods One hundred and thirty four patients were enrol ed and divided into the control group and hype-ruricemia group by the level of SUA.The parameters of the ultrasound cardiogram of the heart were detected.Results A significant positive correlation was observed between the SUA and IVS,IVS/PWT(r= 0.303,P<0.01;r= 0.266,P<0.05).IVS,IVS/PWT and LAD in the hyperuricemia group were higher than that in the control group(P<0.05).Conclusion Elevated SUA may be involved in the remodeling of the left ventricle and atrium in patients with hypertension.
