尼日利亚新诊断高血压患者血脂、脂蛋白水平和选定微量金属

D. Oparinde, A. Atiba, A. Okesina
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摘要

关于微量元素在高血压发病机制中的作用已有多篇报道,但关于微量元素与微量金属之间关系的报道很少,特别是在黑人中。本研究旨在确定新诊断高血压(NDH)患者血清微量金属水平及其与血脂(一种已知的HBP标志物)水平的相关性。随机选取50例NDH患者(男性24例,女性26例),经知情同意后纳入研究。从工作人员中招募62名同意的健康个人(28名男性和34名女性)作为对照。使用适当的技术从受试者和对照组中采集空腹血液样本。血清总胆固醇(Tc)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)使用Randox实验室市售试剂盒进行评估。采用火焰原子吸收分光光度法对微量金属硒(Se)、锌(Zn)、钴(Co)和铜(Cu)进行了分析。采用SPSS统计软件包18.0对所得数据进行分析。对照组血清Tc和LDL-Chol(4.53±1.30和2.56±1.38)mmol/l高于对照组(5.69±1.40和3.85±0.94)mmol/l,差异有统计学意义(p < 0.05)。两组血清Tg差异无统计学意义(1.40±0.21 vs 1.34±0.67mmol/l), p > 0.05。与对照组(21.75±7.30,120.15±25.76)μg/dl相比,NDH组硒、锌水平分别为(8.55±5.61,70.44±28.48)μg/dl。p关键词:血脂、脂蛋白、微量营养素、新诊断黑人高血压。
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Serum Lipids and Lipoproteins Levels and Selected Trace Metals In Newly Diagnosed Hypertensive Nigerians
There have been several reports on the role of macronutrients in the pathogenesis of high blood pressure (HBP), however, reports on the relationship between micronutrients and trace metals are few, especially in blacks. This study aim to determine the serum levels of trace metals and correlate same with serum levels of lipoproteins (an established marker of HBP) in newly diagnosed hypertensives (NDH) A total of 50 NDH subjects (24 males and 26 females) attending Ladoke Akintola University of Technology Teaching Hospital, Osogbo were randomly selected and recruited after obtaining their informed consent. 62 consenting healthy individuals (28 males and 34 females) were recruited from member of staff as controls. Fasting blood samples were collected from subjects and controls using appropriate techniques. Serum Total cholesterol (Tc), triglycerides (TG), low density lipoprotein cholesterol (LDL-C) and high density lipoprotein cholesterol (HDL-C) were estimated using commercially available kit from Randox Laboratory. Trace metals (Selenium(Se), Zinc(Zn), Cobalt(Co) and Copper(Cu)) were analyzed using flame atomic absorption spectrophotometry. Data obtained were analyzed with the aid of SPSS statistical package version 18.0. Serum Tc and LDL-Chol were higher in subjects (5.69 ±1.40 and 3.85±0.94) mmol/l than in controls (4.53±1.30 and 2.56±1.38) mmol/l, p 0.05. Serum Tg were almost similar Preamong subjects and controls 1.40±0.21 vs 1.34±0.67mmol/l, p > 0.05. Reduced levels of Se and Zn were found in NDH (8.55±5.61, 70.44±28.48μg/dl) compared with controls (21.75±7.30, 120.15±25.76μg/dl), p Key words: lipids, lipoproteins, micronutrients, newly diagnosed black hypertensives.
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