摘要：目的：评价尿微量白蛋白(Micro albuminuria，Malb)和转铁蛋白(transferrin，TF)在原发性高血压诊治中的意义。方法：将高血压患者依舒张压分成“正常”血压组、轻度高血压组、中度高血压组、重度高血压组，对高血压各组与健康对照组的Malb和TF水平及相应的Malb和TF阳性率进行比较分析。结果：高血压组Malb和TF的水平与对照组比较，差异有显著性(P<0.001)；高血压各亚型与Malb和TF的阳性率有密切关系(P<0.001～0.05)，并随高血压升高而升高。结论：尿Malb和TF能反映高血压的严重程度，可以用于指导临床高血压诊治。

    关键词：高血压；微量白蛋白；诊断

    Significance of Urinary Microalbuminuria in Essential Hypertension

    CHEN Kai-jie

    (The Affiliated Hospital of Guangdong Medical College, Guangdong Zhanjiang 524001, China)

    Abstract： Objective：To investigate the significance of urinary microalbuminuria(Malb) and transferrin(TF) in essential hypertension. Method: Urinary excretion of Malb and TF were measured and compared between the subgroups of hypertension and normal control group and relevant Malb and TF positive rate are compared. Result: There were significant differences in urinary Malb and TF(P<0.001) between the two groups; the relation between the subgroups of hypertension Malb and TF positive rate is close(P<0.001～0.05).Conclusion: Malb and TF can reflect the severity extent, and guide the diagnosis and treatment. ......