首页|老年高血压患者血清总胆红素及肝酶与血压的相关性

老年高血压患者血清总胆红素及肝酶与血压的相关性

扫码查看
目的 探讨老年高血压患者血清总胆红素、肝酶水平与血压的关系。方法 选取2022年1~10月国药东风总医院老年科住院患者253例作为研究对象,依据是否患有高血压病分为高血压组(154例)和对照组(99例),高血压组进一步分为1级、2级和3级组。比较两组患者血清总胆红素及肝酶等指标,采用Spearman相关性分析评估血清总胆红素、肝酶与血压分级的相关性。结果 高血压组总胆红素水平低于对照组,差异有统计学意义(P<0。05);高血压组丙氨酸氨基转移酶(alanine aminotransferase,ALT)、γ-谷氨酰转移酶(gamma-glutamyl transferase,GGT)、碱性磷酸酶(alkaline phosphatase,ALP)水平均高于对照组,差异有统计学意义(P<0。05);二元logistic回归分析示,两组患者血清总胆红素、ALT比较,差异有统计学意义(P<0。05)。Spearman相关性分析示,血清总胆红素与老年高血压血压分级呈负相关(rs=-0。511,P=0。000)。结论 血清总胆红素、ALT是老年患者高血压发病的相关影响因素,且随血压级别的增高,血清总胆红素水平降低,应加强对老年高血压患者的血清总胆红素及ALT水平的监测并及时干预。
Correlation between Serum total bilirubin,liver enzymes levels and blood pressure in elderly Patients with hypertension
Objective To investigate the association between serum total bilirubin,liver enzymes levels and blood pressure in elderly patients with hypertension.Methods Two hundreds and fifty-theree patients at the Dongfeng Hospital from January 2022 to August 2022 were selected.Patients were divided into hyper-tension group and control group based on whether they had hypertension.The hypertension group was fur-ther divided into grade 1,grade 2 and grade 3 groups.The serum total bilirubin and liver enzymes were compared between the two groups.Spearman analysis was used to determine the relationship between serum total bilirubin,liver enzymes and blood pressure grades.Results The total bilirubin level in the hyperten-sion group was lower than that in the control group(P<0.05).The levels of ALT,GGT and ALP in the hypertensive group were higher than those in the control group(P<0.05).Binary logistic regression analysis showed that there were significant differences in serum total bilirubin and ALT between the two groups(P<0.05).Spearman correlation analysis showed that serum total bilirubin was negatively correlated with blood pressure grading in elderly patients with hypertension(rs=-0.511,P=0.000).Conclusions Serum total biliru-bin and ALT were related factors of hypertension in elderly patients.As the blood pressure level increases,the serum total bilirubin level decreased.The serum total bilirubin and ALT levels should be monitored in elderly patients with hypertension to guide intervention in a timely fashion.

Elderly hypertensionBilirubinlLiver enzymesCorrelation analysis

徐美林、陈欣

展开 >

锦州医科大学国药东风总医院研究生培养基地,湖北 十堰 442000

湖北医药学院附属东风医院

老年高血压 胆红素 肝酶 相关性分析

2023

慢性病学杂志

慢性病学杂志

ISSN:
年,卷(期):2023.24(10)
  • 20