TY - JOUR A2 - 克也,智盟 - 康,凯盟 - 马,爷说AU - 贾,崇福AU - 诚,云鹏AU - 杨,邓颖超AU - 王,立信AU - 江益农AU - 鲁,燕PY -2020 DA - 2020年4月9日TI - 7109502 VL - - 2020 AB中年患者的原发性高血压SP副肾动脉和临床特征的关系 -
目标。副肾动脉(ARA)和高血压之间的关系仍然没有完全理解。我们观察到中年原发性高血压患者中ARA和临床特征之间的关联。
方法。One hundred and sixty-two middle-aged (mean 39.82 ± 10.25 years, 58.0% male) patients with primary hypertension were enrolled, and patients underwent Computed Tomography Angiography (CTA) of renal arteries, ambulatory blood pressure monitor (ABPM), echocardiography, physical examination, and routine blood chemistry examinations. According to the CTA results, patients were divided into a non-ARA (
ñ = 108) and ARA (
ñ = 54) group. Direct renin concentration (DRC), plasma aldosterone concentration (PAC), ABPM, echocardiography, creatinine, and glomerular filtration rate were compared between the two groups.
结果。DRC(MU / L)(11.21(5.34,20.87)与18.24(10.32,33.59),
P
=
0.002
)为ARA组中比在非ARA组显著高。然而,PAC(毫微克/分升)(98.30(67.30,134.00)与116.50(78.80,137.25),
P
=
0.103
)为这两个组之间是相似的。ABPM (mmHg) results showed that daytime (146.75 ± 17.04/95.86 ± 11.39 vs. 155.50 ± 14.76/100.48 ± 10.69,
P
<
0.05
), night time (133.44 ± 17.50/85.28 ± 12.80 vs. 139.81 ± 14.64/89.83 ± 11.21,
P
<
0.05
), and 24 h blood pressure (143.95 ± 15.99/93.90 ± 11.78 vs. 152.07 ± 13.85/98.11 ± 10.36,
P
<
0.05
)是ARA组中比在非ARA组显著高。因此,超声心动图衍生后左心室壁的厚度值是在ARA组中比在非ARA组中更高。
结论。ARA有关,血压升高和较高的直接肾素浓度中年原发性高血压患者,而这些患者应该严格控制血压。我们的研究结果为ARA重要的证据是高血压和靶器官损害的原因。SN - 2090-0384 UR - https://doi.org/10.1155/2020/7109502 DO - 10.1155 /七百一十万九千五百○二分之二千○二十零JF - 国际高血压杂志PB的 - Hindawi出版KW - ER -