摘要:目的探讨哈萨克族高血压患者的血尿酸(UA)、血脂水平与心理因素的关系。方法2012年1~8月随机抽取在医院就诊的哈萨克族高血压患者90例为高血压组,同期志愿参加的非高血压患者171例为健康对照组,测定UA、三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C),使用觉察压力量表(PSS)评定心理状况。结果调整年龄、体质量指数(BMI)后,高血压组中男性TG、TC、HDI~LDL和女性UA、TG、LDI.水平高于健康对照组(P〈0.05);高血压组UA与TC呈正相关(r=0.221,P〈0.05)。校正年龄、性别和BMI后。觉察压力水平与TC、LDI。呈正相关(r=0.473.P00.05;r=0.321,P〈0.05),与TG、HDL呈负相关(r=0.46l,P〈0.05;r=-0.412,P〈0.05)。结论哈萨克族高血压患者的血脂水平与觉察压力有一定的相关性。
Objective To study the relationship between Kazakh hypertensive patients with blood uric acid,lipid levels and psy chological factors. Methods 90 Kazak patients with hypertension in our hospital [rom January to August 2012 were randomly se lccted as the hypertension group and contemporaneous 171 non-hypertension patients as the healthy control group. Blood uric acid ( UA), triglycerides(TG), total cholesterol (TC), low density lipoprotein cholesterol (I~DL-C) and high-density iipoprotein choles terol(Hl)l.-C) were detected and the perceived stress scale(PSS) was adopted to assess the mental status. Results The mean val ues of TG,TC, HDI. and LI)L in males of the hypertension group and the mean values of UA,TG and [.DL in females of the hyper tension group were significantly higher than those in the normal control group after adjusting age and BMI(P~0.05) ;in the hyper tension group,UA was positively correlated with TC(r= 0. 221, P〈(0.05). The level of perceived stress was positively correlated TC and LDI.(r-=0. 473,P〈0.05;r=0. 321,P〈0.05) and negatively correlated with TG and HDL(r= -0. 461,P〈0.05;r=- 0. 412,P〈50. 05) after adjusting age, sex and BMI. Conclusion The blood lipid level in Kazakh hypertensive patients has certain correlation with the perceived stress.