尼日利亚贝宁市中心医院高血压和糖尿病合并症患者的疾病-年龄相关氧化状态

O. A. Iyamu, J. Anionye, E. Onyeneke, O. Oluba, Omon M. Oyakhire, O. Aigbe
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摘要

本研究的目的是比较有临床证据表明血糖和血压持续得到良好控制的高血压和糖尿病患者与明显健康的对照组的氧化状态,并观察氧化状态随合并疾病进展(年龄)的变化是否与以往对单纯性高血压或糖尿病患者的研究结果不同。采集合并症患者的血样(n = 42;17名男性和25名女性)和42名明显健康的志愿者测定血浆中两种内源性抗氧化酶(超氧化物歧化酶,SOD和过氧化氢酶,CAT)以及氧化损伤标志物(丙二醛,MDA和红细胞渗透脆性,EOF)的水平。结果显示,随着合并发病年龄的增加,血中SOD和CAT水平均显著降低(P<0.001)。血MDA和EOF水平也随合并发病年龄的增加而升高(P<0.001)。这些指标随疾病年龄的变化比早期研究中观察到的单纯性糖尿病或高血压更有统计学意义。本研究表明,高血压合并糖尿病患者的氧化损伤比单纯性糖尿病或高血压患者更严重
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Disease –Age- Correlated Oxidative Status of Patients with Hypertensive and Diabetic Co-Morbidity in Central Hospital, Benin City, Nigeria
The study was designed to compare oxidative status of sufferers of a co-morbidity of hypertension and diabetes mellitus who have clinical evidence of sustained well controlled blood sugar and blood pressure with that of apparently healthy controls and to see if the variation of this oxidative status with progression (age) of the co-morbidity differ from the observations in previous studies with sufferers of solitary hypertension or diabetes. Blood samples were collected from  co-morbidity sufferers (n = 42; 17 males and 25 females ) and 42 apparently healthy volunteers for the determination of plasma levels of two endogenous antioxidant enzymes  (superoxide dismutase, SOD, and catalase, CAT) as well as markers of oxidative damage (malondialdehyde, MDA, and erythrocyte osmotic fragility, EOF). Results obtained showed that the blood levels of both SOD and CAT decreased significantly (P<0.001) as age of co-morbidity increases. Also levels of blood MDA and EOF increased with age of co-morbidity (P<0.001). The variation of these indices with disease age was more statistically significant than that observed in earlier studies with solitary diabetes or hypertension. This study shows that oxidative damage is worse in sufferers of hypertensive and diabetic co-morbidity than in sufferers of solitary diabetes or hypertension
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