Bogdanovska S, Zafirovska K, Lozance Lj, Masin-Paneva J
Clinic of Nephrology, Medical Faculty, Skopje, R. Macedonia.
Srp Arh Celok Lek. 1996;124 Suppl 1:214-6.
In 48 men, 42, 1 +/- 8.8 yrs old, with untreated mild essential hypertension, serum uric acid, total cholesterol triglycerides and glucose were examined at 8 a.m after 16 hour overnight fasting. All patients were overweight, with body mass index: 26.9 +/- 2.4 kg/m2, (normal value: 19-24.9); serum uric acid 293.1 +/- 89.3 mmol/l; cholesterol 6.3 +/- 1.4; triglycerides 2.0 +/- 1.3 and glucose 5.4 +/- 0.9 mmol/l. File out of 48 (10.4%) patients had hyperuricemia, nine (18.7%) had hypercholesterolemia, twenty (41.7%) had hypertriglyceridemia and 19 (39.6%) had hyperglycemia. Significant correlation between serum uric acid and triglycerides only (r = 0.35; p < 0.01), was found. A correlation exists between the diastolic blood pressure and cholesterol (r = 0.35; p < 0.01); as well as, between mean arterial blood pressure and cholesterol (r = 0.34; p < 0.02). Only three out of 48 (6.2%) patients with hypertension had all four biochemical parameters above normal levels. Our results suggest that interrelation of all these metabolic disorders are important in essential hypertension, and especially the association of high serum uric acid and triglyceride level.
对48名年龄在42.1±8.8岁、未经治疗的轻度原发性高血压男性患者,在空腹16小时后的上午8点检测血清尿酸、总胆固醇、甘油三酯和血糖。所有患者均超重,体重指数为26.9±2.4kg/m²(正常值:19 - 24.9);血清尿酸为293.1±89.3mmol/l;胆固醇为6.3±1.4;甘油三酯为2.0±1.3;血糖为5.4±0.9mmol/l。48名患者中有5名(10.4%)患有高尿酸血症,9名(18.7%)患有高胆固醇血症,20名(41.7%)患有高甘油三酯血症,19名(39.6%)患有高血糖症。仅发现血清尿酸与甘油三酯之间存在显著相关性(r = 0.35;p < 0.01)。舒张压与胆固醇之间存在相关性(r = 0.35;p < 0.01);平均动脉血压与胆固醇之间也存在相关性(r = 0.34;p < 0.02)。48名高血压患者中只有三名(6.2%)的所有四项生化指标均高于正常水平。我们的结果表明,所有这些代谢紊乱之间的相互关系在原发性高血压中很重要,尤其是高血清尿酸与甘油三酯水平之间的关联。