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高血压患者血管病变及心脏重构与尿微量白蛋白/肌酐关系的研究

Study on the relationship between vascular lesions and cardiac remodeling with urine microalbumin/creatinine in hypertensive patients

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【作者】 蒋小菊赵印平刘卫华莫江英刘浩军黄群英孙义兰

【Author】 Jiang Xiaoju;Zhao Yinping;Liu Weihua;Mo Jiangying;Liu Haojun;Huang Qunying;Sun Yilan;Internal Medicine-Cardiovascular Department,the Second People’s Hospital of Guilin City,Guangxi;

【机构】 广西桂林市第二人民医院心血管内科

【摘要】 目的:探讨高血压患者尿微量白蛋白/肌酐比值与血管病变及心脏重构的相关性。方法:收治高血压并发冠心病进而接受冠脉造影患者209例,回顾性分析其临床资料。结果:高血压患者颈动脉内膜中层厚度及左心室质量指数越高,则尿微量白蛋白/肌酐比值越高,且呈正相关。结论:高血压患者尿微量白蛋白/肌酐比值同血管病变及心脏重构相关,可能成为高血压对大血管及心肌损害的预测指标。

【Abstract】 Objective:To explore the relationship between vascular lesions and cardiac remodeling with urine microalbumin/creatinine in hypertensive patients.Methods:209 patients with hypertension complicated with coronary heart disease treated with coronary angiography were selected and the clinical data were reviewed.Results:In hypertensive patients,the higher the carotid intima media thickness and the left ventricular mass index,the higher the ratio of microalbuminuria/creatinine,and the two were positively correlated.Conclusion:The ratio of urine microalbuminuria/creatinine was associated with vascular lesions and cardiac remodeling in patients with hypertension,and it may be a predictor of high blood pressure on large blood vessels and myocardial damage.

【基金】 广西区卫计委自筹基金课题。编号:Z2012368~~
  • 【文献出处】 中国社区医师 ,Chinese Community Doctors , 编辑部邮箱 ,2018年15期
  • 【分类号】R541.4;R544.1
  • 【被引频次】5
  • 【下载频次】97
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