首页|正常高值血压肝火亢盛证与血浆同型半胱氨酸的相关性研究

正常高值血压肝火亢盛证与血浆同型半胱氨酸的相关性研究

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目的 探讨正常高值血压肝火亢盛证与同型半胱氨酸相关性及其化验指标的关系.方法 选取2016年11月-2019年11月期间山东中医药大学附属医院心病科就诊及体检人群正常高值血压肝火亢盛证患者84例,同时选取同期就诊的理想血压人群53例、高血压肝火亢盛证人群52例,受试者进行一般检查(身高、体质量、血压、静息心率),血浆同型半胱氨酸(Homocysteine,Hey)、生化指标、尿微量白蛋白检测.结果 正常高值血压肝火亢盛证组中血清高同型半胱氨酸(Hyper homocysteine,HHcy)检出率为7.14%,高血压肝火亢盛证组中血清高同型半胱氨酸检出率为76.92%,呈递增趋势.正常高值血压肝火亢盛证组尿微量白蛋白阳性检出率为1.92%,高血压肝火亢盛证组尿微量白蛋白阳性检出率为10.81%,呈递增趋势.LSD-t检验结果可知Hey在正常血压组与高血压肝火亢盛证组及正常高值血压肝火亢盛证组与高血压肝火亢盛证组之间,差别有统计学意义(P<0.05);总胆固醇在正常血压与正常高值血压之间,差别有统计学意义(P<0.05);低密度脂蛋白胆固醇(Low-density lipoprotein cholesterol,LDL-C)在正常血压与正常高值血压之间,差别有统计学意义(P<0.05).对正常高值血压肝火亢盛证组同型半胱氨酸值行pearson相关分析,结果显示,同型半胱氨酸与血清尿酸、血清肌酐具有相关性(P<0.05).结论 在正常高值血压肝火亢盛证人群中同型半胱氨酸升高,且同型半胱氨酸与血清尿酸、血清肌酐具有相关性.
Correlation Study Between Prehypertensive Liver-Fire Hyperactivity Syndrome and Plasma Homocysteine
Objective To investigate the correlation between prehypertensive liver-fire hyperactivity syndrome and homocysteine and its assay indexes.Methods From November 2016 to November 2019,84 patients diagnosed with prehypertensive liver-fire hyperactivity syndrome were selected from the Department of Cardiology and Health Examina-tion Center at the Affiliated Hospital of Shandong University of Traditional Chinese Medicine.Meanwhile,53 patients with ideal blood pressure and 52 patients with hypertensive liver-fire hyperactivity syndrome were treated during the same peri-od.Subjects underwent general examinations(height,weight,blood pressure,resting heart rate),and tests for plasma homo-cysteine(Hey),biochemical indicators,and urinary microalbumin levels.Results The detection rate of serum hyperhomo-cysteine(HHcy)in the prehypertensive liver-fire hyperactivity syndrome group was 7.14%,while the detection rate of HHcy in the hypertensive liver-fire hyperactivity syndrome group was 76.92%,showing an increasing trend.The positive detection rate of urinary microalbumin in the prehypertensive liver-fire hyperactivity syndrome group was 1.92%and 10.81%in the hypertensive liver-fire hyperactivity syndrome group,showing an increasing trend.LSD-t test results showed statistically significant differences in Hey levels between the ideal blood pressure group and both the hypertensive liver-fire hyperactivity syndrome group and the prehypertensive liver-fire hyperactivity syndrome group,with a statistically significant difference(P<0.05).There were also significant differences in total cholesterol and low-density lipoprotein cho-lesterol(LDL-C)levels between the ideal blood pressure group and the prehypertensive liver-fire hyperactivity syndrome group,with a statistically significant difference(P<0.05).Pearson correlation analysis of homocysteine levels in the pre-hypertensive liver-fire hyperactivity syndrome group showed that homocysteine correlated with serum uric acid and serum creatinine(P<0.05).Conclusion Homocysteine levels are elevated in patients with prehypertensive liver-fire hyperac-tivity syndrome,and homocysteine is associated with serum uric acid and serum creatinine levels.

PrehypertensionLiver-Fire Hyperactivity SyndromeHomocysteine

杨洁、胡芳晓、杨传华

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山东中医药大学附属医院心病一科,山东济南 250011

山东中医药大学第一临床医学院,山东济南 250011

正常高值血压 肝火亢盛证 同型半胱氨酸

国家自然科学基金面上项目泰山学者青年专家岗位建设资金资助项目山东省中医药管理局项目

82374385tsqn202211352M-2023058

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(8)
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