高血压合并高甘油三酯血症患者餐后血糖异常的相关性分析

The analysis on dysglycemia after meal in patients with hypertension and hypertriglyceridemia

目的分析空腹血糖正常的高血压及高血压合并高甘油三酯血症患者餐后血糖异常的发病情况及特点,尽早发现隐匿性糖代谢异常。方法选择167例无糖代谢异常病史,空腹血糖正常的原发性高血压病人进行空腹血糖、甘油三酯及餐后2小时血糖检测。结果167例患者中确诊为IGT者65例(38.92%),DM23例(13.78%),高血压合并高甘油三酯血症患者餐后糖代谢异常者63例(38.33%)。结论推荐空腹血糖正常的高血压患者特别是合并高甘油三酯血症患者常规进行餐后2小时血糖检测。

Objective To analyze the occurrence rate and characteristics of abnomal postprandial blood glucose in the patients with hypertension and hypertriglyceridemia of normal fasting blood glucose and early detect the occult abnormal glucose metabolism. Methods 167 cases of patients with primary hypertension of abnormal metabolism sugar-free history and the nomal fasting blood glucose were chosen and their fasting blood glucose, triglycerides and blood glucose two hours after meal were tested. Results 65 cases with IGT （38.92%） and 23 eases with DM （13.78%） were diagnosed in the 167 cases. 63 cases （38.33%） were abnomal postprandial glucose metabolism in the patients with hypertension associated with hypertriglyceridemia. Conclusion Routine 2 hours postprandial blood glucose testing are recommended in the patients with normal fasting blood glucose hypertension particularly with hypertriglyceridemia.