Zhu Wei, Gong Xuelian, Luo Chao, Lu Jing
Department of Clinical Laboratory, Baoji Central Hospital, Baoji, Shaanxi 721008, P.R. China.
Department of Internal Medicine, Xi'an No. 5 Hospital, Xi'an, Shaanxi 710000, P.R. China.
Exp Ther Med. 2018 Aug;16(2):1159-1164. doi: 10.3892/etm.2018.6285. Epub 2018 Jun 11.
Correlation between the serum cystatin C and substance P in peripheral blood of diabetes mellitus patients complicated with hypertension was investigated. Diabetes mellitus patients with or without hypertension were selected in No. 215 Hospital of Shaanxi Nuclear Industry from December 2015 to February 2017. There were 60 patients with only hypertension (hypertension control group), 60 patients with only diabetes mellitus (diabetes mellitus control group) and 60 patients with diabetes mellitus combined with hypertension (observation group). Levels of serum cystatin C and substance P in peripheral blood were measured via immunoturbidimetry and enzyme-linked immunosorbent assay, respectively, and the correlation with hypertension was analyzed. The average level of serum cystatin C in the observation group was higher than that of the two control groups (P<0.05). The level of substance P in peripheral blood of the observation group was lower than that of the diabetic control group (P<0.05). The levels of serum cystatin C in patients with grade III hypertension in observation group were higher than those in grades II and I, and the levels of substance P in peripheral blood of patients with grade III hypertension in observation group were lower than those in grades II and I. Systolic pressure of patients in observation group was significantly positively correlated with level of serum cystatin C, but significantly negatively correlated with level of substance P in peripheral blood (P<0.05). Compared with the diabetes mellitus patients, level of serum cystatin C was higher, and level of substance P peripheral blood was lower in diabetes mellitus patients complicated with hypertension. In diabetes mellitus patients, blood pressure was positively correlated with serum cystatin C level, and negatively correlated with substance P level in peripheral blood.
探讨糖尿病合并高血压患者外周血中血清胱抑素C与P物质的相关性。选取2015年12月至2017年2月在陕西核工业215医院就诊的糖尿病患者,分为单纯高血压患者60例(高血压对照组)、单纯糖尿病患者60例(糖尿病对照组)和糖尿病合并高血压患者60例(观察组)。分别采用免疫比浊法和酶联免疫吸附测定法检测外周血中血清胱抑素C和P物质的水平,并分析其与高血压的相关性。观察组血清胱抑素C的平均水平高于两个对照组(P<0.05)。观察组外周血P物质水平低于糖尿病对照组(P<0.05)。观察组Ⅲ级高血压患者血清胱抑素C水平高于Ⅱ级和Ⅰ级患者,Ⅲ级高血压患者外周血P物质水平低于Ⅱ级和Ⅰ级患者。观察组患者收缩压与血清胱抑素C水平呈显著正相关,但与外周血P物质水平呈显著负相关(P<0.05)。与糖尿病患者相比,糖尿病合并高血压患者血清胱抑素C水平更高,外周血P物质水平更低。在糖尿病患者中,血压与血清胱抑素C水平呈正相关,与外周血P物质水平呈负相关。