超敏C-反应蛋白与高血压关系的病例对照研究  

Case-control study on the relationship between high-sensitivity C-reac-tive protein and hypertension

作　　者：张龙[1] 盛蕾[2] 陈金凤[3] 杨松[4] 沈冲[3] 

机构地区：[1]南京大学医学院附属南京市鼓楼医院急诊科 [2]江苏省第二中医院神经内科 [3]南京医科大学公共卫生学院流行病与卫生统计学系 [4]宜兴市人民医院心内科

出　　处：《中国临床药理学与治疗学》2011年第10期1164-1168,共5页Chinese Journal of Clinical Pharmacology and Therapeutics

基　　金：江苏省卫生厅课题(项目号H200839);南京医科大学校基金课题重点项目(06NMU2010)

摘　　要：目的:探讨超敏C-反应蛋白(hs-CRP)与高血压及血压水平的关系。方法:病例和对照均选自社区基础上整群调查人群;采用Logistic回归模型和分层分析方法对可能影响hs-CRP水平与高血压及血压水平关系的因素进行分析。结果:hs-CRP在高血压患者及排除药物治疗的患者和对照人群中差异均无统计学意义;但女性病例组hs-CRP水平(2.67±2.82)mg/L显著高于对照组hs-CRP水平(2.14±2.35)mg/L(t=2.1034,P=0.043)。吸烟者中校正协变量后,hs-CRP水平变化与高血压的关联有显著意义,OR(95%CI)=1.145(1.001～1.309),P=0.048;排除药物治疗的患者后关联仍有显著意义,OR(95%CI)=1.251(1.041～1.503),P=0.017;而较高hs-CRP水平(>2.4mg/L)患者高血压的患病风险也显著升高,OR 95%CI)=5.065(1.597～16.067),P=0.006。在非药物治疗患者及血压正常者中,女性SBP、DBP和平均动脉压(MAP)在hs-CRP升高组和正常组中差异均有统计学意义,而在男性中未见此差异。结论:hs-CRP水平升高是高血压的重要独立危险因素,而吸烟者患病风险更高。AIM：To investigate the correlation between high-sensitivity C-reactive protein （hs-CRP）and hypertension and blood pressure variation.METHODS：A stratified cluster sampling method was conducted to select people over the age of 40from community based population.Logistic regression and stratification analysis method were applied to evaluate the association of hs-CRP with hypertension.RESULTS：There were no statistical differences of hs-CRP between hypertensive or without medicine treatment group and control group.Remarkably,hypertensive in female had high hs-CRP level （2.67±2.82）mg/L than that of control group （2.14±2.35）mg/L,t=2.1034,P=0.043.After adjusted for covariates,Logistic regression analysis indicated that there was significant association between hs-CRP and hypertension in smoking population,OR（95%CI）=1.145 （1.001-1.309）,P=0.048.The association was still significant even excluding patients with medicine treatment and OR（95%CI）=1.252 （1.041-1.503）,P=0.017and elevated hsCRP（2.4mg/L）increased risk of hypertension significantly as well,OR（95%CI）=5.065 （1.597-16.067）,P=0.006.For normotensives and hypertensive without medicine treatment,individuals with elevated hs-CRP（2.4 mg/L）had higher systolic blood pressure （SBP）,diastolic blood pressure（DBP）and mean arterial blood pressure（MAP）than that of normal hs-CRP（≤2.4mg/L）in female whereas not in male.CONCLUSION：The finding suggests that elevated hs-CRP was an independent risk factor for hypertension and there was a strong association smoking population.

关 键 词：高血压 超敏C-反应蛋白 病例对照研究 

分 类 号：R541.4[医药卫生—心血管疾病]