CAJ | 학술논문

目的：研究正常高值血压者腹内脂肪情况及相关因素。方法 B 超测量122例正常血压者、180例正常高值血压者和84例高血压者的腹内脂肪厚度，同时测量腰围、计算体重指数（BMI），检测检测空腹血糖（FBG）、总胆固醇（TC）、三酰甘油（TG）、高密度脂蛋白胆固醇（HDL - C）和低密度脂蛋白胆固醇（LDL - C）指标。结果 FBG、TC、TG、LDL - C、BMI 在正常血压组、正常高值血压组及高血压组逐渐升高，HDL - C 则逐渐降低，组间比较差异均有统计学意义（ P ﹤0.05）；三组之间腰围、腰臀比差异无统计学意义（ P ﹥0.05），腹内脂肪厚度在正常血压组、正常高值血压组及高血压组逐渐升高，组间比较差异均有统计学意义（ P ﹤0.05）；相关分析显示，腹内脂肪厚度与 FBG、TC、TG 及 LDL - C呈正相关（ P ﹤0.01）。结论血压正常高值者其腹内脂肪厚度明显增加，血糖、血脂异常较为明显。
목적：연구정상고치혈압자복내지방정황급상관인소。방법 B 초측량122례정상혈압자、180례정상고치혈압자화84례고혈압자적복내지방후도，동시측량요위、계산체중지수（BMI），검측검측공복혈당（FBG）、총담고순（TC）、삼선감유（TG）、고밀도지단백담고순（HDL - C）화저밀도지단백담고순（LDL - C）지표。결과 FBG、TC、TG、LDL - C、BMI 재정상혈압조、정상고치혈압조급고혈압조축점승고，HDL - C 칙축점강저，조간비교차이균유통계학의의（ P ﹤0.05）；삼조지간요위、요둔비차이무통계학의의（ P ﹥0.05），복내지방후도재정상혈압조、정상고치혈압조급고혈압조축점승고，조간비교차이균유통계학의의（ P ﹤0.05）；상관분석현시，복내지방후도여 FBG、TC、TG 급 LDL - C정정상관（ P ﹤0.01）。결론혈압정상고치자기복내지방후도명현증가，혈당、혈지이상교위명현。
Objective To explore the changes of visceral fat thickness in prehypertensive patients and investigate the related factors of vis-ceral fat thickness. Methods 122 cases normotensive,180 case prehypertensive and 84 cases hypertensive were selected to test visceral fat thick-ness,waistline,BMI,blood glucose and blood lipid. Results FBG,TC,TG,LDL - C and BMI gradually increased in the normotensive group, prehypertensive group and hypertensive group. However,the difference among the groups was statistically significant( P ﹤ 0. 05). The waistline did not show significant difference among three groups( P ﹤ 0. 05). There was significant visceral fat thickness among three groups,the hyperten-sive group was the thickest and the normotensive group was the slimmest( P ﹤ 0. 05). The correlation analysis showed that,FBG,TC,TG and LDL - C had positive relationship with visceral fat thickness( P ﹤ 0. 01). Conclusion Visceral fat thickness in the patients with prehypertension is obviously larger than that in the patients with optimal blood pressure,the abnormality of blood fat and blood sugar are severe.