摘要
Abstract
Objective:To analyze the positive rates and the symptoms of primary aldosteronism among patients with hypertension. Methods:Select 122 patients with hypertension as the research object, and analyze the positive rate of aldosteronism and other indicators for these patients to ruled out other secondary hypertension patients effectively.The 122 patients were randomly divided into two groups:aldosteronism and primary hypertension group;both were given lying and standing tests on serum potassium and adrenaline thin-layer CT scanning .Meanwhile, some patients were given a midnight Dexamethasone suppression test and a adrenocorticotropic and sexhormone test to study the indicators such as aldosterone level , the aldosterone and renin activity ratio ect.Results:A total of 24 patients in two groups of patients were diagnosed with primary aldosteronism, accounting for 19.67%of all the patients, while no evidence in non-functional adenomas was found;Two groups of patients had no significant differences in general information, but in the primary aldosteronism group, there was a significant increase in aldosterone level and the aldosterone and renin activity ratio as well as a obvious decline in plasma renin activity in lying and standing tests.The difference was very significant ( P <0.05) , while there was no significant difference ( P >0. 05)on the potassium levels.Conclusion:The positive rate of primary aldosteronism might be relatively high among the patients with hy-pertension , and among them the rate of aldosteronoma and adrenal hyperplasia might be very close.关键词
高血压患者/原发性醛固酮增多症/检出率及临床特点Key words
Patients with hypertension/Primary aldosteronism/Positive rate and clinical characteristics分类
医药卫生
