盐敏感性高血压患者胰岛素抗性与糖摄入量的关系

目的　了解盐敏感性高血压患者胰岛素抗性与糖摄入量之间的关系。方法　对 96例高血压患者采用急性盐水负荷试验 ,确定 63例为盐敏感性 (SS)高血压 ,33例为盐不敏感性 (NSS)高血压患者 ,分别测其血压、血糖、血胰岛素水平和体重指数后 ,1月间先后 2次每次 3天的饮食回顾性调查 ,计算其糖的摄入量。结果　高糖摄入组盐敏感性高血压患者血胰岛素水平、血压均升高 ;而在盐敏感性高血压患者中 ,高糖摄入组的血胰岛素水平和血压升高程度比非高糖组明显。结论　盐敏感性高血压患者高糖摄入会加重胰岛素抗性 ,并升高血压

The effects of carbohydrate intake on insulin resistance in salt sensitive hypertensive patients

Objective To observe the effects of carbohydrate intaking on insulin resistance in salt sensitive patients with hypertension.Methods 96 cases of hypertensive patients underwent an acute saline loading test to determine salt sensitives(SS). A 6 day diet survey were undergone to calculate the amount of carbohydrate intake.Results Plasma insulin levels and blood pressures were higher in high carbohydrate intake group in SS hypertensive patients than those in NSS hypertensive patients.In SS hypertensive patients,the plasma insulin levels and blood pressures were sharply increased in high carbohydrate intaking group than those in non high carbohydrate intaking group.Conclusion High carbohydrate intaking can deteriarate insulin resistance and increase blood pressure in SS hypertensive patients.