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[动脉高血压作为葡萄糖耐量试验中高血糖的标志物]

[Arterial hypertension as a marker for hyperglycemia in the glucose tolerance test].

作者信息

Mazovetskiĭ A G, Zhukovskiĭ G S, Aleskerov F T, Bauman E V, Vol'skiĭ V I

出版信息

Probl Endokrinol (Mosk). 1983 May-Jun;29(3):32-5.

PMID:6866951
Abstract

A randomized representative group of 1119 males (aged 20 to 69 years), living in one of the Moscow districts, was examined. Carbohydrate metabolism was evaluated by means of the standard glucose tolerance test (GTT). The arterial blood pressure was measured 4 times using an ordinary sphygmomanometer and "floating zero" apparatus. The average values of 4 measurements were analyzed. It was found that in epidemiological studies arterial hypertension may mark only hyperglycemia 1 hour after glucose load. In mass examination on detecting diabetes cases in persons with arterial hypertension the glycemia determination on an empty stomach or 2 hours after glucose load is apparently sufficient, not influencing the information on carbohydrate metabolism condition of persons under examination. The significance of this method for epidemiological studies of diabetes mellitus is discussed.

摘要

对居住在莫斯科某区的1119名年龄在20至69岁之间的男性进行了随机抽样检查。通过标准葡萄糖耐量试验(GTT)评估碳水化合物代谢情况。使用普通血压计和“浮零”装置测量动脉血压4次,并对4次测量的平均值进行分析。研究发现,在流行病学研究中,动脉高血压可能仅表明葡萄糖负荷后1小时血糖升高。在对动脉高血压患者进行糖尿病病例筛查的大规模检查中,空腹血糖测定或葡萄糖负荷后2小时血糖测定显然就足够了,不会影响所检查人员碳水化合物代谢状况的信息。本文讨论了该方法在糖尿病流行病学研究中的意义。

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