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目的:调查开化山区高血压患者的血糖与血脂代谢异常,为心血管疾病的防治提供参考依据。方法:298例高血压患者为观察组,291例健康人为对照组,测定空腹血糖、总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇,比较分析。结果:高血压观察组检出高血脂84例,对照组检出高血脂21例,χ2=44.2,P<0.01。高血压组舒张压与血总胆固醇之间呈低度显著正相关(r为0.117,P<0.05)。结论:开化山区高血压患者存在血糖、血脂参数的异常改变,测定血糖、血脂参数有助于临床观察高血压患者病情。应开展健康教育,引导农村居民养成健康的生活方式,采取措施调整血脂水平。
Objective: To investigate the abnormal blood glucose and lipid metabolism in hypertensive patients in Kaihua Mountain Area, and to provide a reference for the prevention and treatment of cardiovascular diseases. Methods: 298 hypertensive patients as observation group and 291 healthy people as control group. Fasting blood glucose, total cholesterol, triglyceride, high density lipoprotein cholesterol and low density lipoprotein cholesterol were measured and compared. Results: Hypertension was observed in 84 cases of hyperlipidemia in the control group, 21 cases were found hyperlipidemia, χ2 = 44.2, P <0.01. There was a low and significant positive correlation between diastolic blood pressure and blood total cholesterol (r = 0.117, P <0.05). Conclusion: There are abnormal changes of blood glucose and lipid parameters in hypertensive patients in Kaihua Mountain area. The determination of blood glucose and lipid parameters is helpful for the clinical observation of patients with hypertension. Health education should be carried out to guide rural residents to develop a healthy lifestyle and take measures to adjust blood lipid levels.