Kjeldsen S E, Sejersted O M, Frederichsen P, Leren P, Eide I K
Department of Internal Medicine, Ullevaal University Hospital, Norway.
Scand J Clin Lab Invest. 1990 Jun;50(4):395-400. doi: 10.3109/00365519009091597.
The present study aimed at testing the hypothesis of decreased erythrocyte magnesium content and magnesium deficiency in essential hypertension. Atomic absorption was used to measure the erythrocyte content of total magnesium in 50-year-old otherwise healthy white males with essential hypertension (n = 12, blood pressure (mean +/- SE) 155 +/- 4/109 +/- 2 mmHg) that had never been treated and in normotensive control subjects (n = 12, blood pressure 128 +/- 2/88 +/- 1 mmHg) matched for age, sex, race, height, weight and smoking habits. The erythrocyte magnesium content was significantly increased in the hypertensive group (2.266 +/- 0.063 vs 1.903 +/- 0.069 mmol/l erythrocytes, p less than 0.001). No significant difference between the groups was detected for serum concentration or the 24-h urinary excretion of magnesium. In conclusion, the present study indicates increased rather than decreased erythrocyte content of magnesium in 50-year-old white males with 'never-treated', essential hypertension. Magnesium deficiency is, therefore, unlikely in this subset of critically selected and matched hypertensive patients.
本研究旨在验证原发性高血压患者红细胞镁含量降低及镁缺乏这一假说。采用原子吸收法测定了50岁、既往未接受过治疗的原发性高血压健康白人男性(n = 12,血压(均值±标准误)为155±4/109±2 mmHg)以及年龄、性别、种族、身高、体重和吸烟习惯相匹配的血压正常对照者(n = 12,血压为128±2/88±1 mmHg)的红细胞总镁含量。高血压组的红细胞镁含量显著升高(分别为2.266±0.063 mmol/L红细胞和1.903±0.069 mmol/L红细胞,p < 0.001)。两组间血清镁浓度或24小时尿镁排泄量未检测到显著差异。总之,本研究表明,50岁、既往未接受过治疗的原发性高血压白人男性的红细胞镁含量升高而非降低。因此,在这一经过严格挑选和匹配的高血压患者亚组中,镁缺乏不太可能存在。