694例高血压患者糖代谢障碍与左室肥厚的关系  

Glucose Intolerance and Left Ventricular Hypertrophy in Hypertension

作　　者：陈尔琴[1] 罗小敏[1] 文瑞莲[1] 唐承[1] 罗俊[1] 周光荣[1] 张廷杰[1] 吴治湘[1] 马西峰 史丽雅[1] 

机构地区：[1]成都市心血管病研究所,成都市第三人民医院

出　　处：《中华高血压杂志》1994年第4期257-258,共2页Chinese Journal of Hypertension

摘　　要：６９４例高血压患者糖代谢障碍（ＧＩ）（包括糖尿病及葡萄糖耐受不良）的检出率及其对左室肥厚（ＬＶＨ）的影响，患者与正常人检出率分别为１４．４％及３．１％。男、女高血压之总检出率无统计学差异（１４．５％：１５．５％）。但高血压病人伴ＧＩ者ＬＶＨ检出率明显高于无ＧＩ的高血压（２４．２％：１７．３％）。研究提示ＧＩ常与高血压并存，伴ＧＩ之高血压不论中老年均有更高之ＬＶＨ检出率。To analyse the relationship between glucose metabolic impairment(GI,diabetes and glucose intolerance)and left ventricular hypertrophy (LVH), 694 hypertensives(SBP≥140 mmHg and/or DBP≥90 mmHg,male 382.female 312, Aged 38～76 years) and 686 matched normotensive controls were observed.It was found that the occurrence rates of GI in LVH and normal controls were 14.4% and 3.1%,respectively (P<0. 05),with no significant difference between male and female (14. 5% vs 15. 5% P>0. 05). Frequency of LVH was found higher in hypertensives with GI than in hyperteusives without GI(24. 7% vs 17. 3%, P<0. 01).It demonstrate that GI is a independent risk factor for LVH other than age and hypertension.

关 键 词：高血压 糖尿病 葡萄糖耐受不良 左室肥厚 

分 类 号：R544.1[医药卫生—心血管疾病]