高血压患者糖化血红蛋白、餐后血脂的价值

The Hypertension patient examines the Saccharifies the hemoglobin,After meal the blood fats clinical significance

目的探讨糖化血红蛋白A1c(HbA1c)、餐后血脂对高血压的诊断价值。方法测定因高血压就诊40例患者的餐后血糖、血脂和糖化血红蛋白作为观察组,同时以38例同年龄正常人为对照组。结果HbA1c水平高血压组(6.5±1.5)%与对照组(5.5±0.6%)比较差异有统计学意义(P<0.01)。两组餐后三酰甘油(TG)均明显高于各自的空腹水平(P<0.01);高血压组空腹及餐后2h的TG水平显著高于对照组(P<0.05)。而总胆固醇(TC)两组餐后较空腹低(P<0.05),但高血压组无论空腹还是餐后均高于对照组(P<0.01);高血压组高密度脂蛋白胆固醇(HDL)空腹、餐后2h低于对照组(P<0.05),低密度脂蛋白胆固醇(LDL-C)高于对照组(P<0.01)。结论高血压患者存在糖代谢和脂代谢紊乱,通过HbA1c、餐后血糖、血脂的测定可以早期发现。对中、低危高血压患者的心血管危险因素进行评估时应注意餐后现象。

Objective After discussion saccharification hemoglobin A1c （HbA1c）,meal blood fats to hypertension diagnosis value. Methods After the determination because the hypertension receives amedical examination 40 examples patients meal the blood sugar, the blood fats and the saccharification hemoglobin takes the observation group,simultaneously by 38 examples same. Results The hypertension group （ 6.5 ± 1.5 ） %, （ 5.5 ± 0.6 ） %, the HbA 1 chorizontal difference has statistics significance with the comparison group （ P 〈 0.01 ）. After two group of meal TG obviously is higher than respective emptystomaeh level（ P 〈 0.01 ） ;The Hypertension sickness group empty stomach and meal the latter 2 hour TG level remarkably is higher than the comparison group（ P 〈 0.05） ;after the TC two groups meal compare the empty stomach to be low（ P 〈 0.05） ;But hypertension after group regardless of the empty stomach or mealis higher than the comparison group（ P 〈 0.01 ） ;The hypertension sickness group HDL empty stomach, meal the latter 2 hours is lower than the comparison group （ P 〈 0.05 ） ; LDL-C, is higher than the comparison gronp （ P 〈 0.01 ）. Conclusion Hypertension patients has the sugar metabolism and the fat metabolism disorder, after HbA1c, meal the blood sugar, the blood fats determination when the appraisal should the attention meal phenomenon.