文档介绍:不同血压水平的原发性高血压肾损害程度比较
【摘要】目的观察不同血压水平的原发性高血压患者肾损害程度的差异并分析其原因。方法将60例原发性高血压患者按血压高低分为A组及B组,比较两组24h尿蛋白量、血肌酐(Scr)、血尿素氮(BUN)、尿酸(UA)、眼底等水平变化。结果两组除血压外各项指标差异无显著性,A组24h尿蛋白量与B组明显升高,两组间比较差异有显著性(P<),A组与B组比较,眼底动脉硬化四级者明显增多,差异有显著性(P<),B组与A组比较,眼底动脉硬化一级者明显增多,差异有显著性(P<),A组眼底动脉硬化程度明显重于B组。结论高水平血压组肾损害明显重于低水平血压组,两组间比较差异有显著性(P<),其原因与肾硬化程度相关。
【关键词】高血压病肾损害
[Abstract] Objective pare and analyze the degree of renal injure in primary hypertensive patients with different blood pressure. Methods Sixty primary hypertensive patients were assigned to group A and group B by the degree of blood pressure. 24h urine protein, serum creatinine, blood urea nitrogen, uric acid and the changes of eye ground in both groups pared. Results There was no significant difference of the baseline data between two groups except for the degree of blood pressure. 24h urine protein of group A was significantly higher than that of group B (P<). The numbers of eye ground arterioscl
erosis IV in group A increased significantly than that in group B (P<). But the numbers of eye ground arteriosclerosis I in group B increased significantly then that in group A (P<). Meanwhile the degree of eye ground arteriosclerosis in group A was more serious than that in group The renal injure with high degree hypertension is more severe than that with low degree hypertension, and the di