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本文对54例非胰岛素依赖型糖尿病(NIDDM)合并高血压患者及30例高血压病患者的空腹胰岛素、胆固醇、甘油三酯及高密度脂蛋白胆固醇水平进行对照分析,结果表明两组胰岛素及血脂水平均高于正常对照组(P<0.011,两组间无显著差异(P>0.05),显示(1)NIDDM合并高血压组血浆胰岛素水平与血压、血脂水平呈正相关;(2)高血压组有高胰岛素与高血糖并存的胰岛素抵抗现象和脂代谢障碍。本文还将两组的血管合并症进行了比较,发现糖尿病合并高血压组并发症的发生率高,其中尤以冠心病和脑血管病发生率高。提示我们应将上述疾病作为一个整体而寻找新的有效的治疗方法。
In this paper, 54 cases of non-insulin-dependent diabetes mellitus (NIDDM) with hypertension and 30 cases of hypertensive patients fasting insulin, cholesterol, triglycerides and high-density lipoprotein cholesterol levels were compared, the results showed that two groups of insulin and lipid (P <0.011). There was no significant difference between the two groups (P> 0.05), which showed that (1) plasma insulin level was positively correlated with blood pressure and blood lipid in NIDDM patients with hypertension; (2) There is a combination of hyperinsulinemia and hyperglycemia in insulin resistance and lipid metabolism disorders.This article also compares the two groups of vascular complications and found that the incidence of complications of diabetes complicated with hypertension group, especially in coronary heart disease and cerebrovascular The high incidence of disease suggests that we should look for new and effective treatments for the above diseases as a whole.