25羟维生素D及甲状旁腺激素与高血压的关系
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(1.中国医科大学附属盛京医院心血管内科,辽宁省沈阳市 110000;2.树兰(杭州)医院心血管内科,浙江省杭州市 310000)

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付鹏,博士,副教授,研究方向为冠心病的临床与基础,E-mail为fup@sj-hospital.org。

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The relationship between 25 hydroxyvitamin D, parathyroid hormone levels and hypertension
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1.Department of Cardiology, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110000, China;2.Department of Cardiology, Shulan Hangzhou Hospital, Hangzhou, Zhejiang 310000, China)

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    摘要:

    目的 目前血清25羟维生素D[25-(OH)D]、甲状旁腺激素(PTH)与高血压是否直接相关尚无定论,文章旨在探讨三者之间的关系。 方法 选取2014年3月至2015年7月就诊于盛京医院心血管内科的患者368例,其中男性202例。按照是否患高血压分为高血压组(198例)和非高血压组(170例)。收集研究对象一般资料并检测PTH以及25-(OH)D水平。分析25-(OH)D、PTH与高血压之间的关系。 结果 高血压组患者25-(OH)D水平低于非高血压组(37.67±18.23 nmol/L比42.45±20.41 nmol/L,P=0.018)。两组间PTH水平差异无统计学意义(50.08±28.80 ng/L比50.45±22.37 ng/L,P=0.892)。Pearson相关性分析显示,25-(OH)D与PTH呈负相关(r=-0.225,P<0.05)。二元Logistic回归分析显示维生素D缺乏或不足是高血压的独立危险因素(OR=1.847,95%CI 1.138~2.996,P=0.013),PTH升高与高血压发病风险不存在相关。 结论 维生素D不足或缺乏与高血压相关,是高血压的危险因素。

    Abstract:

    Aim To explore the direct correlation between serum levels of 25-hydroxyvitamin D[25-(OH)D], parathyroid hormone (PTH) and hypertension. Methods From March 2014 to July 5,8 patients inhospitalized in department of cardiology were selected. Based on the presence of hypertension, they were divided into hypertension group (198 cases) and non-hypertension group (170 cases). Demographic information was collected and blood samples were taken to probe levels of PTH and 25-(OH)D. Correlation between 25-(OH)D, PTH and hypertension were tested.Results Serum 25-(OH)D level of patients in hypertension group was lower than that in non-hypertension group (37.67±18.23 nmol/L vs 42.45±20.41 nmol/L,P=0.018). Difference in PTH of the two groups lacked statistical significance (50.08±28.80 ng/L vs 50.45±22.37 ng/L, P=0.892). Pearson correlation analysis showed that 25-(OH)D level was negatively correlated with PTH(r=-0.225,P<0.05). Multivariable logistic regression indicated that vitamin D deficiency was the independent risk factor of hypertension (OR=1.7,5%CI 1.138~2.996,P=0.013),whereas PTH showed no correlation with hypertension. Conclusion Vitamin D lack or deficiency has independent risk effect on hypertension.

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付鹏,张琳,杨博逸,牛铁生.25羟维生素D及甲状旁腺激素与高血压的关系[J].中国动脉硬化杂志,2018,26(1):73~76, 108.

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  • 收稿日期:2017-08-28
  • 最后修改日期:2017-11-27
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  • 在线发布日期: 2018-02-01