老年高血压病患者血压与血脂、血糖及脂肪肝的关系

Relationship between Blood Pressure,Blood Lipid,Blood Sugar and Fatty Liver in Elderly Patients with Hypertension

目的:探讨老年高血压病患者血压与血脂、血糖及脂肪肝的关系。方法:选择457例老年高血压病患者作为高血压组与408例老年非高血压病人群为对照组。采用台式标准汞柱式血压计测右上臂血压,在全自动生化分析仪上检测血脂与血糖,超声仪测定脂肪肝。结果:高血压组较对照组FSG及TG显著增高(P<0.01);HDL-C较低而LDL-C相对较高(P<0.05);两组TC水平无显著性差异。高血压组较对照组脂肪肝患病率显著增加(P<0.01)。结论:高血脂、高血糖与脂肪肝均为老年高血压病的危险因素。

Objective：To investigate the relationship between blood pressure,blood lipid,blood sugar and fatty liver in elderly patients with hypertension.Methods：457 elderly patients with hypertension were selected as the hypertensive group and 408 elderly non hypertensive patients as the control group.Using standard desktop mercury sphygmomanometer in the right upper arm blood pressure,automatic biochemical analyzer to detect the blood lipids and blood glucose,ultrasound determination of fatty liver.Results：Compared with the control group,FSG and TG in hypertension group increased significantly（P〈0.01）,HDL-C was lower,and LDL-C was relatively high（P〈0.05）.There was no significant difference between the two groups in TC levels.The prevalence of fatty liver in the hypertension group was significantly higher than that in the control group（P〈0.01）.Conclusion：Hyperlipidemia,hyperglycemia and fatty liver are the risk factors of hypertension in the elderly.