社区H型高血压患者血清胱抑素C的检测结果分析.docVIP

精品论文 参考文献 社区H型高血压患者血清胱抑素C的检测结果分析 张静 夏锋 奚齐红 陶海琦 孙丽艳 　　（上海市闸北区彭浦镇社区卫生服务中心 上海 200072） 　　【摘要】 目的：探讨社区H型高血压患者血清胱抑素C的特点，以便及早控制高血压肾病的进展。方法：统计1404名H型高血压患者和1404名非H型高血压患者血清胱抑素C的检测结果，分析血清胱抑素C与性别、年龄、高血压级别等因素的相关性。结果：H型高血压组血清胱抑素C升高率（9.12%）高于非H型高血压组（6.12%），两组比较差异有统计学意义（P＜0.05）；性别亚组分析男女H型高血压且血清胱抑素C升高者比例为4.49%和4.63%，两组比较差异无统计学意义（P＞0.05）；年龄亚组分析H型高血压组，45～54岁组、55～64岁组、65～74岁组和75岁以上组血清胱抑素C升高率分别为1.21%、1.57%、3.13%和3.21%，差异有统计学意义（P＜0.05）；高血压级别亚组分析1级、2级、3级H型高血压血清胱抑素C升高率分别2.92%、3.06%和3.13%，各组比较差异无统计学意义（P＞0.05）。结论：H型高血压较非H型高血压更易导致肾功能损伤。H型高血压患者中65岁以上人群肾功能损伤风险显著增加，性别和高血压级别不是H型高血压肾功能损害的危险因素。 　　【关键词】 H型高血压;健康体检;胱抑素C 　　【中图分类号】R544.1 【文献标识码】A 【文章编号】2095-1752（2016）11-0389-02 　　Analysis of serum cystatin C Detection result in community patients with H-type hypertension Zhang Jing, Xia Feng, Xi Qihong,Tao Haiqi,Sun Liyan Pengpu-town community health service center of Zhabei District,Shanghai 200072,China 　　【Abstract】Objective To investigate the characteristics of serum cystatin C in community patients with H-type hypertension,in order to control the duration of the early hypertensive nephropathy.Methods Through analysis and comparisonofserum cystatin C detection results between 1404 patients with H-type hypertension and 1404 patientswithout H-type hypertension, analyse correlation of serum cystatin C and gender、age、level of blood pressure and other factors.Results H-type hypertension group, serum cystatin C increased rate (9.12%) was higher than that of non H-type hypertension group (6.12%), the difference between the two groups has statistical significance (Plt;0.05);Gender subgroup analysis of male and female H-type hypertension and serum cystatin C increased ratio was 4.49% and 4.63%, the two groups had no statistically significant difference (Pgt;0.05);Age subgroup analysis of H-type hypertension group, 45 ~ 54 years old group, 55 ~ 64 years old group, 65 ~ 74 year old and above 75 years old group elevated serum cystatin C rate was 1.21%, 1.57%, 3.