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原发性醛固酮增多症的筛查指标:血浆醛固酮/肾素比值研究进展

Research advance of plasma aldosterone concentration to plasma renin activity ratio-the screening index of primary aldosteronism
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摘要 原发性醛固酮增多症(PA)曾被认为是一种罕见疾病,随着血浆肾素活性检查技术的提高,ARR普遍被采用,其检出率较以前显著提高。但是ARR受多种因素的影响,并且各个医疗中心所使用的检测方法、筛查人群的种族、体位及筛查前是否停用药物等因素不一致,因此各家报道的ARR切点也不尽相同。因此本文就ARR及其影响因素和近年来ARR切点的相关研究进行综述,以提高ARR筛查PA的准确率。 Primary hyperaldosteronism used to be a kind of rare disease. With the measurement technique for plasma lenin activity increased and ARR widespreadly used,the detection rate of PA was significantly elevated. But, because ARR was affected by some factors, such as measurement technique, populations, positions and stopping antihypertensive drugs or not, various medical centre reported different ARR cutoff values. Therefore, the primary objective of this article was to review ARR,influencing factors and recent researches about it~ cutoff values to elevate the accuracy of PA screening.
出处 《农垦医学》 2012年第6期522-524,共3页 Journal of Nongken Medicine
关键词 醛固酮 肾素比值 原发性醛固酮增多症 plasma aldosterone concentration to plasma renin activity ratio Primary hyperaldosteronism
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参考文献23

  • 1Rmsi GP,Bemini G,Caliumi C,a ,d. A prmpective study of the prevalence of prima- aldmtenmism in 1125 hypertensive patients [J] Journal of the American College of Cardiology, 2006, 48 ( 11 ) :2293 - 2300.
  • 2Muiesam MI, Paini A, etal. Inappropriate left ventrienlar mass in patients with prima- aldostemnism [ J ]. Hypertensin, 2008,52 (3) :529 -534.
  • 3Milliez P,Girerd X,Plouin PF,e- al. Evidence for an increased rate of cardiovascular evevts in patiens with primary aldostereniam [ J ]. J Am Coil Cardio,2005,45(8) :1243 - 1248.
  • 4李立明,饶克勤,孔灵芝,姚崇华,向红丁,翟凤英,马冠生,杨晓光,中国居民营养与健康状况调查技术执行组.中国居民2002年营养与健康状况调查[J].中华流行病学杂志,2005,26(7):478-484. 被引量:1786
  • 5Conn JW,Cihen EI,Rovner DR,et d. Nonnokalemic primary aldo- steronisim :a detectable cause of curable "essential" hypertension[J]. JAMA, 1965,193(3) :200 -206.
  • 6Hiramatsu K, Yamade T, Yukimura Y,eJ al. A screening test to identifyaldestemnc - producing adenoma by measuring plasma t- nin activity. Reoultsin hypertensive patients[J] Arch Intern Med, 1981,141 (12) : 1589 - 1593.
  • 7Gordon RD, Stowaeeer M ,Tunny TJ,et al. High incidence d prima- ryAldnsteronism in 199 patients rderrcd with hypertension[J] Cen in Exp Phammcol physiol,1944,21 (4) :315 -318.
  • 8Calhoun DA,Nishizaka MK,Zaman MA,et od. Hyperaldnsteronisim an-ong black and white subjects with resistant hypertension [J]. Hypertension ,2002,40(6) :892 -896.
  • 9Ressi E, Regolisti G,Ne$- A,et ad. High prevalence d primary al- dostemnism using posteaptopril plasma aldosterone to renin ratio as a screening test among Italian hypertensives [ J ]. Am hypertens, 2002,15( 10Ptl ) :896 -902.
  • 10Loh KC, Koay ES, Kl'mw MC ,e- al. Prevalence of primary aldcste- ronism among Asian hypertensive patients in singapore [ J ]. Clin Endocrinol Metab ,20(10,85 ( 8 ) :2854 - 2859.

二级参考文献63

  • 1林良明,刘玉琳,张新利,曹兰华,米杰.1998年中国育龄妇女贫血情况调查[J].中国生育健康杂志,2002,13(3):102-107. 被引量:42
  • 2王惠君,翟凤英,杜树发,王志宏,何宇纳.1989-2000年中国部分省份成人超重流行趋势分析[J].营养学报,2004,26(5):329-332. 被引量:24
  • 3杨晓光,孔灵芝,翟凤英,马冠生,金水高,中国居民营养与健康状况调查技术执行组.中国居民营养与健康状况调查的总体方案[J].中华流行病学杂志,2005,26(7):471-474. 被引量:174
  • 4全国血压抽样调查协作组.中国高血压的患病率、知晓率及治疗和控制状况:1991年抽样调查结果[J].高血压杂志,1995,3(A01):14-18. 被引量:199
  • 5Mulatero P, Stowasser M, Loh KC, et al. Increased diagnosis of primary aldosteronism, including surgically correctable forms, in centers from five continents [ J ]. J Clin Endocrinol Metab, 2004,89 : 1045 - 1050.
  • 6Rossi GP, Bernini G, Caliumi C,et al. A prospective study of the prevalence of primary aldosteronism in 1,125 hypertensive patients [ J ]. J Am Coil Cardiol,2006,48:2293 - 2300.
  • 7Fnnder JW, Carey RM, Fardella C, et al. Case detection, diagnosis, and treatment of patients with primary aldosteronism:an endocrine society clinical practice guideline [ J ]. J Clin Endocfinol Metab, 2008,93:3266 - 3281.
  • 8Newton-Cheh C, Guo CY, Gona P, et al. Clinical and genetic correlates of aldosterone-to-renin ratio and relations to blood pressure in a community sample[ J]. Hypertension ,2007,49:846 - 856.
  • 9Mulatero P, Dluhy RG, Giacchetti G, et al. Diagnosis of primary aldosteronism : from screening to subtype differentiation [ J ]. Trends Endocrinol Metab ,2005,16 : 114 - 119.
  • 10Seiler L, Rump LC, Schuhe-Monting J, et al. Diagnosis of primary aldosteronism:value of different screening parameters and influence of antihypertensive medication [ J ]. Eur J Endocrinol, 2004, 150:329 - 337.

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