首页|血清同型半胱氨酸和胱抑素C在高血压分级中的相关性研究

血清同型半胱氨酸和胱抑素C在高血压分级中的相关性研究

扫码查看
目的 探索社区原发性高血压患者血清同型半胱氨酸(homocysteine,Hcy)和胱抑素C(cystatin C,CysC)水平与高血压水平的相关性.方法 选取2018年11月—2021年12月广州市某社区初次确诊和诊疗中的原发性高血压患者共120例作为实验组对象,根据2018年《中国高血压病防治指南》高血压诊断和分级标准,将实验组对象分为高血压1级组55例,高血压2级组35例,高血压3级组30例,选择社区同期无高血压病史的体检者50例作为对照组,比较实验组和对照组一般资料和血清Hcy、CysC等生化指标,分析Hcy和CysC水平与高血压分级的相关性,探索两者在高血压诊断和病情评估中的临床应用价值.结果 实验组与对照组一般资料没有统计学差异(P>0.05),不同级别间高血压患者血清Hcy及CysC水平与对照组的差异有统计学意义(P<0.05);高血压2级组、3级组血清Hcy水平高于高血压1级组(P<0.05);高血压3级组血清CysC水平高于高血压1级组、2级组(P<0.05);血压水平的高低与血清Hcy和CysC水平呈正相关.结论 血清Hcy、CysC水平与高血压水平相关,CysC、Hcy水平对高血压的诊断、分级和疗效评估有积极的意义.
Correlation Research between Serum Homocysteine and Cystatin C in Grading of Hypertension
Objective To explore correlation between serum homocysteine(Hcy)and cystatin C(CysC)levels and hypertension levels of community patients with primary hypertension.Methods The paper chose 120 patients with primary hypertension first diagnosed and treated in a community of Guangzhou from November 2018 to December 2021 as experimental group.According to the 2018 Chinese guidelines for prevention and treatment of Hypertension for diagnosis and grading of hypertension,the paper divided them into hypertension level 1 group of 55 cases,hypertension level 2 group of 35 cases,and hypertension level 3 group of 30 cases,and 50 healthy individuals without hypertension history during the same period in the community as control group.General information and serum Hcy,CysC,and other biochemical indicators were compared between experimental group and control group.Correlation between Hcy and CysC levels and hypertension grading was analyzed,and clinical application value of them in hypertension diagnosis and disease assessment was explored.Results There was no statistically significant difference in general information between experimental group and control group(P>0.05),there was statistically significant difference in serum Hcy and CysC levels between hypertensive patients of different grades and control group(P<0.05).Serum Hcy levels in grade 2 and grade 3 hypertension groups were higher than grade 1 hypertension group(P<0.05).Serum CysC levels in grade 3 hypertension group were higher than grade 1 and 2 hypertension groups(P<0.05).Level of blood pressure was positively correlated with serum Hcy and CysC levels.Conclusion Serum Hcy and CysC levels are correlated with hypertension levels,CysC and Hcy levels have positive significance in diagnosis,grading,and effect evaluation of hypertension.

HomocysteineCystatin CHypertension classification

李丽民、曹锐军、王晓艳

展开 >

广州市越秀区北京街社区卫生服务中心,广东 广州 510000

同型半胱氨酸 胱抑素C 高血压分级

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(1)
  • 11