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原发性高血压患者基础血浆去甲肾上腺素与血压、年龄、性别、血浆肾素活性及血容量的关系

Relationship of basal plasma noradrenaline to blood pressure, age, sex, plasma renin activity and plasma volume in essential hypertension.

作者信息

Chobanian A V, Gavras H, Melby J C, Gavras I, Jick H

出版信息

Clin Sci Mol Med Suppl. 1978 Dec;4:93s-96s. doi: 10.1042/cs055093s.

Abstract
  1. The relationship of basal plasma noradrenaline to blood pressure, age, sex, urinary sodium excretion, and plasma volume has been examined in 117 untreated ambulatory patients with essential hypertension. 2. No significant correlations between basal plasma noradrenaline and either age or sex were apparent in the total group of essential hypertensive patients. In addition, no significant correlations were observed between plasma noradrenaline and 24 h urinary sodium excretion. 3. Basal plasma noradrenaline concentration was significantly higher in high renin essential hypertensive subjects compared with those with normal or low plasma renin activity. 4. Plasma noradrenaline was reduced significantly in relatively young patients with low renin essential hypertension, but appeared to be normal in other low renin subjects. 5. Basal plasma noradrenaline correlated significantly with blood pressure in patients with normal or low renin essential hypertension but the relationships were only significant in male patients. 6. No significant relationship between basal plasma noradrenaline and either blood pressure or plasma volume could be demonstrated in this population of essential hypertensive patients.
摘要
  1. 对117例未经治疗的门诊原发性高血压患者,研究了基础血浆去甲肾上腺素与血压、年龄、性别、尿钠排泄及血浆容量之间的关系。2. 在原发性高血压患者的总体中,基础血浆去甲肾上腺素与年龄或性别之间均无明显相关性。此外,血浆去甲肾上腺素与24小时尿钠排泄之间也未观察到明显相关性。3. 高肾素原发性高血压患者的基础血浆去甲肾上腺素浓度显著高于血浆肾素活性正常或较低的患者。4. 相对年轻的低肾素原发性高血压患者血浆去甲肾上腺素显著降低,但其他低肾素患者的血浆去甲肾上腺素似乎正常。5. 在肾素正常或较低的原发性高血压患者中,基础血浆去甲肾上腺素与血压显著相关,但这种关系仅在男性患者中显著。6. 在这群原发性高血压患者中,基础血浆去甲肾上腺素与血压或血浆容量之间均未显示出明显关系。

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