摘要
目的探讨肥胖患者隐性高血压(MH)与24 h尿蛋白的关系。方法选取诊所血压(CBP)正常的肥胖患者67例(肥胖组)和体质量正常的健康体检者29例作为对照组,均行24 h动态血压(ABP)检查,按日间血压检测结果,将肥胖患者分为肥胖伴MH组(28例)和单纯肥胖组(39例);对比分析3组24 h尿蛋白定量结果。结果肥胖伴MH组的24hSBP、24hDBP、dSBP、dDBP均明显高于对照组和单纯肥胖组(P<0.01);各组24 h尿蛋白≥150 mg的发生率比较显示,肥胖伴MH组明显高于单纯肥胖组(P<0.05)和对照组(P<0.01),单纯肥胖组高于对照组,但无统计学差异。结论肥胖是导致蛋白尿的原因之一,而肥胖合并MH加重了尿蛋白的产生。
Objective To study the relation between 24-hour urinary protein and masked hypertension in obese patients.Methods Ninety-six subjects with normal clinic blood pressure(CBP) were divided into three groups according to the results of ambulatory blood pressure monitoring(ABPM),i.e.group of obesity with masked hypertension(n=28),group of obesity without masked hypertension(n=39) and group of healthy control(n=29).The 24-hour urinary protein was comparatively analyzed.Results The 24hSBP,24hDBP,dSBP and dDBP were significantly higher in the group of obesity with masked hypertension than in the other two groups.In the group of obesity with masked hypertension,the incidence of 24h urinary protein more than 150 mg was significantly higher than that in the group of obesity without masked hypertension(P0.05) and than that in the group of healthy control(P0.01).Conclusion Obesity may be a risk factor for the generation of urinary protein,and obesity in combination of masked hypertension may further increased the process.
出处
《临床军医杂志》
CAS
2010年第2期263-265,共3页
Clinical Journal of Medical Officers
关键词
肥胖
24h尿蛋白
隐性高血压
动态血压监测
obesity
24-hour urinary protein
masked hypertension
ambulatory blood pressure monitoring