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王伟红, 杨建军, 康菊琴, 任彬彬. 原发性高血压与血清钙钠钾离子交互效应[J]. 中国公共卫生, 2009, 25(12): 1464-1465. DOI: 10.11847/zgggws2009-25-12-29
引用本文: 王伟红, 杨建军, 康菊琴, 任彬彬. 原发性高血压与血清钙钠钾离子交互效应[J]. 中国公共卫生, 2009, 25(12): 1464-1465. DOI: 10.11847/zgggws2009-25-12-29
WANG Wei-hong, YANG Jian-jun, KANG Ju-qin, . Relationship between serum levels of Ca2+, Na+, K+ and hypertension[J]. Chinese Journal of Public Health, 2009, 25(12): 1464-1465. DOI: 10.11847/zgggws2009-25-12-29
Citation: WANG Wei-hong, YANG Jian-jun, KANG Ju-qin, . Relationship between serum levels of Ca2+, Na+, K+ and hypertension[J]. Chinese Journal of Public Health, 2009, 25(12): 1464-1465. DOI: 10.11847/zgggws2009-25-12-29

原发性高血压与血清钙钠钾离子交互效应

Relationship between serum levels of Ca2+, Na+, K+ and hypertension

  • 摘要: 目的 探讨原发性高血压与血清中钙(Ca2+)、钠(Na+)、钾(K+)离子含量及其交互效应的相关性,为优化居民膳食结构,防治高血压提供理论依据.方法 采用病例对照研究方法,随机选取宁夏医科大学附属医院门诊体检中确诊的高血压患者56例为病例组,在同一人群选取健康者56人为对照组,运用火焰原子吸收分光光度法检测血清Ca2+、Na+、K+含量;采用偏相关和线性模型方法分析血清Ca2+、Na+、K+含量变化及其交互作用与高血压的相关性.结果 控制年龄、性别等影响因素后,收缩压和舒张压与体重、体质指数(BMI)、腰围、臀围、上臂围、甘油三酯均呈正相关(P<0.05),与高密度脂蛋白、血清Ca2+、K+含量变化呈负相关(P<0.05);病例组体重、体质指数、腰围、臀围、上臂围均高于对照组(P<0.05);血清K+含量则明显低于对照组(P<0.01);收缩压和舒张压与血清Ca2+×K+、Ca2+×Na+均呈交互效应(P<0.05).结论 血压与血清中Ca2+、Na+、K+含量及Ca2+×K+、Ca2+×Na+的交互作用呈一定相关性,提示膳食中合理摄入富钾及钙的食物对高血压防治具有积极作用.

     

    Abstract: Objective To investigate the serum calcium(Ca2+),sodium(Na+),potassium(K+)contents and their effects on incidence of hype rtension for prevention of hype rtension.Methods Fromroutine health checkup examinees,56 essential hyertansion patients and 56 age-matched healthy persons were randomly selected for the case-control study.The contents of serum Ca2+,Na+,K+ were measured with flame a tomic absorption spectrop hotometry.Partial correlation and linear model were adopted in the analysis.Results A fter ad justed for age and gender,the weight,body mass index(BMI),waist circum ference,hipcircum ference,a rmcircum ferencet,riglyce rides were positively correlated with sys to lic and dias to lic blood pressure(P<0.05)and the high density lipoprotein(HDL-c),serum Ca2+,K+ concentrations were negatively correlated with systolic and diastolic blood pressure(P<0.05).The weight,BM I,waist circum ference,hipcircum ference,upper armcircum ference of the cases were higher than that of controls(P<0.05)and serum K+ content of the cases was significantly lower than that of the control group(P<0.01).The interactions between blood pressure and serum Ca2+ and K+,Ca2+ and Na+ were observed.Conclusion The serum Ca2+,Na+,K+ contents and Ca2+ and Na+,Ca2+ and K+ contents have a correaltion with blood pressure.The in take of potassium and calcium-rich food may have preventive effect on hypretention.

     

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