原发性高血压糖代谢异常的研究

目的探讨原发性高血压患者糖代谢异常情况。方法对152例初诊原发性高血压患者行口服75g葡萄糖耐量试验（OGTT），据血糖值分为正常葡萄耐量（NGT）、空腹血糖受损（IFG）、葡萄糖耐量减低（IGT）和糖尿病（DM）。结果152例原发性高血压患者中DM9．9％，IFG12．5％，IGT33．5％。结论原发性高血压患者存在较高的糖代谢异常率，对原发性高血压患者应实行首诊血糖负责制，进行常规筛查，做到早发现、早治疗、预防和减少心脑血管并发症。

A trial abnomality of glucose metabolisem in patients with essential hypertension

Objective To investigate the abnomality of glucose metabohsem in patients with essential hypertension. Methods After OGTT, 152 patients with essential hypertension were divided into 4 groups： normal glucose tolerance： （NGT）, impaired fasting glucose（IFG）,impaired glucose tolerity（IGT）and diabetes millitus（DM）o The morbidity had been calculated respectively. Results The morbidity of DM, IFG, and IGT were 9.9%, 12.5% and 33.5% respectively.Conclusion The frequency of abnormal glucose metabolism in patients with essential hypertension is very high. In order to prevent and reduce the possibility of cardiovascul car; complications, blood glucose especially OGTr should he as a routine procedure in the diagnosis of such patients.