高血压患者尿酸与心血管危险因素的关系

Natavan Z. Musaeva, Elena V. Oshchepkova, Anna V. Aksenova, Timur M. Gurtsiev, Irina E. Chazova
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引用次数: 0

摘要

本研究旨在分析门诊高血压患者尿酸与心血管危险因素(年龄、体重指数、腰围、总胆固醇和低密度脂蛋白胆固醇水平、血糖)及肾小球滤过率的相关性。该研究基于1285名高血压门诊患者的数据。28.4%的病例检测到高尿酸血症。尿酸与腰围、体质指数呈正相关;阴性-介于尿酸和肾功能恶化之间(基于肾小球滤过率)。研究表明,利尿剂治疗和吸烟与血清尿酸水平升高有关。对高血压和高尿酸血症患者心血管危险因素频率的研究得出结论:80%的患者有1个以上的额外危险因素;≥3种危险因素合并在男性中的发生率明显高于女性。已获得的数据证明,尿酸与代谢因子紊乱、肾功能紊乱和利尿剂治疗入院密切相关,因此高血压患者必须控制尿酸水平,并采用现代指南认可的措施降低高尿酸血症患者的尿酸水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Connection between uric acid and cardiovascular risk factors in hypertensive patients
The aim of the research is to analyze correlations between uric acid and cardiovascular risk factors (age, body mass index, waist circumference, total cholesterol and low-density lipoprotein cholesterol levels, glucose) and glomerular filtration Rate in outpatient care hypertensive patients. The research was based on the data of 1285 ambulatory patients from the national register of hypertension. Hyperuricemia was detected in 28,4% of cases. A positive correlation was established between uric acid and waist circumference, body mass index; negative – between uric acid and kidney function deterioration (based on glomerular filtration rate). It was stated that diuretic therapy and smoking are associated with the increase in uric acid serum levels. The study of cardiovascular risk factors frequency in patients with hypertension and hyperuricemia concluded that 80% had more than 1 additional risk factor; combination of ≥3 risk factors occurred in males significantly more often than in females. Acquired data proves that uric acid is closely related to disturbance in metabolic factors, kidney function and diuretic therapy admission, which makes it essential to control its levels in hypertensive patients, as well as to use measures approved by the modern guidelines to decrease uric acid in patients with hyperuricemia.
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