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2型糖尿病患者血清钙与血压水平的关联

Association of serum calcium with level of blood pressure in type 2 diabetic patients.

作者信息

Behradmanesh Saeed, Nasri Hamid

机构信息

Medical Plants Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Department of Nephrology, Division of Nephropathology, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Nephropathol. 2013 Oct;2(4):254-7. doi: 10.12860/JNP.2013.40. Epub 2013 Oct 1.

Abstract

INTRODUCTION

Hypertension and diabetes are two common diseases and they affect the same major target organs.

OBJECTIVES

In this study, we sought to investigate the probable association of serum calcium with levels of systolic and blood pressure in a group of type 2 diabetic (T2D) patients.

PATIENTS AND METHODS

A total of 60 patients with T2D were enrolled to the study. To determine serum creatinine, calcium and hemoglobin A1c (HbA1c), venous blood samples were obtained in the fasting state.

RESULTS

Among 60 participants, 56.7% were female. Mean of ages was 57±8.3 years. Mean of systolic and diastolic blood pressure were 133±13 mmHg and 84±7.4 mmHg, respectively. Mean of serum calcium was 9.0±0.4 mg/dl. In this study, there was no significant difference of serum calcium and HbA1c between males and females. A significant inverse correlation of serum calcium with level of diastolic blood pressure (r= -0.261, p=0.046) was seen (adjusted for duration of diabetes). Moreover, a negative correlation of systolic blood pressure with level of serum calcium was existed, however, this correlation was not significant (r= -0.232, p=0.080) [adjusted for duration of diabetes].

CONCLUSIONS

We found a significant inverse correlation of serum calcium with level of diastolic blood pressure. We propose to more attention to serum calcium during the treatment of hypertension in diabetic patients.

摘要

引言

高血压和糖尿病是两种常见疾病,它们影响相同的主要靶器官。

目的

在本研究中,我们试图调查一组2型糖尿病(T2D)患者血清钙与收缩压和舒张压水平之间可能存在的关联。

患者与方法

共60例T2D患者纳入本研究。为测定血清肌酐、钙和糖化血红蛋白(HbA1c),在空腹状态下采集静脉血样本。

结果

60名参与者中,56.7%为女性。平均年龄为57±8.3岁。收缩压和舒张压的平均值分别为133±13 mmHg和84±7.4 mmHg。血清钙的平均值为9.0±0.4 mg/dl。在本研究中,男性和女性的血清钙和HbA1c无显著差异。血清钙与舒张压水平呈显著负相关(r = -0.261,p = 0.046)(根据糖尿病病程进行校正)。此外,收缩压与血清钙水平存在负相关,但这种相关性不显著(r = -0.232,p = 0.080)[根据糖尿病病程进行校正]。

结论

我们发现血清钙与舒张压水平呈显著负相关。我们建议在糖尿病患者高血压治疗过程中更多关注血清钙。

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本文引用的文献

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Serum calcium level in hypertension.高血压患者的血清钙水平。
N Am J Med Sci. 2012 Nov;4(11):569-72. doi: 10.4103/1947-2714.103316.
5
The treatment of hypertension in adult patients with diabetes.成年糖尿病患者的高血压治疗
Diabetes Care. 2002 Jan;25(1):134-47. doi: 10.2337/diacare.25.1.134.
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Etiology and prevalence of hypertension in diabetic patients.糖尿病患者高血压的病因及患病率
Diabetes Care. 1988 Nov-Dec;11(10):821-7. doi: 10.2337/diacare.11.10.821.
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Disturbed calcium metabolism in subjects with elevated diastolic blood pressure.
Clin Investig. 1992 Sep;70(9):748-51. doi: 10.1007/BF00180741.

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