非杓型高血压患者尿酸、超敏C反应蛋白与动态动脉硬化指数的关系

Relationship between uric acid, high sensitivity C reactive protein and ambulatory arterial stiffness index in patients with non-dipper hypertension

  • 摘要: 目的 探讨非杓型高血压患者的尿酸(uric acid,UA)、超敏C反应蛋白(high-sensitivity C-reactive protein,hs-CRP)与动态动脉硬化指数(ambulatory arterial stiffness index,AASI)的关系。 方法 将2013年1月- 2014年1月就诊于山西医科大学第一医院高血压门诊及住院部的原发性高血压患者176例,根据血压昼夜节律分为杓型高血压组(81例)和非杓型高血压组(95例),并设正常血压76例为对照组。检测UA、hs-CRP并进行24 h动态血压监测,分析UA、hs-CRP与AASI的关系。 结果 与杓型高血压组和对照组相比,非杓型高血压组病程长,收缩压高、舒张压低、脉压差大(P< 0.05)。非杓型高血压组UA、hs-CRP、AASI较高(P< 0.05),UA是非杓型高血压的危险因素。UA与AASI (r=0.436,P< 0.001)、hs-CRP与AASI (r=0.603,P< 0.001)均呈正相关。 结论 在非杓型高血压患者中,随着UA和hs-CRP的升高,AASI越大,动脉硬化程度越严重。

     

    Abstract: Objective To investigate the relationship between uric acid (UA), high sensitivity C reactive protein (hs-CRP) and ambulatory arterial stiffness index (AASI) in patients with non-dipper hypertension. Methods One hundred and seventy-six patients admitted to our hospital from January 2013 to January 2014 were divided into dipper hypertension group (n=81) and non-dipper hypertension group (n=95) and other 76 patients of normal blood pressure served as the control group. All groups were tested UA and hs-CRP and given 24 h ambulatory blood pressure monitoring. The relationship between UA, hs-CRP and AASI were analyzed. Results Compared with dipper hypertension group and the control group, non-dipper hypertension group had long pathogenesis, high systolic blood pressure, low diastolic blood pressure and big pulse pressure (P< 0.05). UA, hs-CRP and AASI of non-dipper hypertension group were significantly higher than others (P< 0.05), and UA was a risk factor for non-dipper hypertension. UA (r=0.436, P< 0.001) and hs-CRP (r=0.603, P< 0.001) were positively correlated with AASI. Conclusion With the increase of hs-CRP and UA, AASI becomes higher and has more serious degree of arteriosclerosis in patients with non dipper hypertension.

     

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