糖耐量低减患者进行动态血压及尿白蛋白检测的临床意义

Clinical Significance of the Detection of Dynamic Blood Pressure and Urinary Albumin in Impaied Glucose Tolerance Patients

应用动态血压监测（ＡＢＰＭ）技术进行了５４例血压正常的糖耐量低减（ＩＧＴ）患者动态血压与尿白蛋白检测，并与３０例正常人进行对照。结果显示：ＩＧＴ患者在未出现高血压之前，已有动态血压改变，部分ＩＧＴ存在阵发性高血压，尤其是收缩压（ＳＢＰ）升高显著，舒张压有增高趋势。ＩＧＴ患者尿白蛋白排出率（ＵＡＥＲ）较正常人升高（Ｐ＜０．０１），血压升高者尿白蛋白（ＵＡＥ）增高多见。因此，预防糖尿病并发症。

Using the technique of ABPM,dynamic blood pressure and urinary albumin were performed in 54 impaired glucose tolerance(IGT)patients with normal blood pressure and 30 normal controls The result showed that dynamic blood pressure had changed before blood pressure of impaired glucose tolerance patients became high Some of impaired glucose tolerance cases showed paroxysmal hypertension and systolic blood pressure elevated significantly,diastolic blood pressure elevated,too The degree of decrease in nighttime blood pressure was small 24 h blood pressure curves was more smoother Urinary albumin excretion rate in impaired glucose tolerance patients were more higher than normal controls(P<0 01) There was more increase of urinary albumin excretion in abnormal blood pressure cases Advanced treatment should perform in impaired glucose tolerance in order to prevent diabetes complications