中华健康管理学杂志
中華健康管理學雜誌
중화건강관이학잡지
CHINESE JOURNAL OF HEALTH MANAGEMENT
2012年
4期
228-231
,共4页
袁公贤%王桦%任江华%黄从新%汪迎晖
袁公賢%王樺%任江華%黃從新%汪迎暉
원공현%왕화%임강화%황종신%왕영휘
健康管理%高血压%动脉粥样硬化%血压昼夜节律
健康管理%高血壓%動脈粥樣硬化%血壓晝夜節律
건강관리%고혈압%동맥죽양경화%혈압주야절률
Health management%Hypertension%Atherosclerosis%Blood pressure circadian rhythm
目的 应用脉搏波传导速度(PWV)、踝臂指数(ABI)和颈动脉内膜中层厚度(IMT)评价老年单纯收缩期( ISH)高血压在杓型与非杓型血压昼夜节律变化时的血管健康状况.方法 按照动态血压仪检测结果,分为非杓型组(74例)、杓型组(78例)和正常血压组(72例),观察试验组和对照组baPWV、ABI、IMT.结果 非杓型组肱-踝脉搏波速度(baPWV)、IMT值显著高于杓型组( baPWV1801.61±314.27,1658.67±274.80,P＜0.01;IMT 0.96±0.22,0.87±0.19,p＜0.05),ABI值显著低于杓型组(1.03±0.17,1.12±0.18,P＜0.01).当baPWV＞1400 cm/s、ABI＜0.9时,三组检出数依次为61例、59例、41例,以及18例、9例、5例,差异有统计学意义(x2=12.57,P＜0.0I；x2 =9.74,P＜0.01)；三组颈动脉斑块检出数依次为43例、32例、18例,差异有统计学意义(x2=16.49,P＜0.01).结论 老年ISH患者易出现外周动脉损害,非杓型高血压尤为明显,无创性baPWV、ABI、IMT指标可较好的评价血管健康状态.
目的 應用脈搏波傳導速度(PWV)、踝臂指數(ABI)和頸動脈內膜中層厚度(IMT)評價老年單純收縮期( ISH)高血壓在杓型與非杓型血壓晝夜節律變化時的血管健康狀況.方法 按照動態血壓儀檢測結果,分為非杓型組(74例)、杓型組(78例)和正常血壓組(72例),觀察試驗組和對照組baPWV、ABI、IMT.結果 非杓型組肱-踝脈搏波速度(baPWV)、IMT值顯著高于杓型組( baPWV1801.61±314.27,1658.67±274.80,P＜0.01;IMT 0.96±0.22,0.87±0.19,p＜0.05),ABI值顯著低于杓型組(1.03±0.17,1.12±0.18,P＜0.01).噹baPWV＞1400 cm/s、ABI＜0.9時,三組檢齣數依次為61例、59例、41例,以及18例、9例、5例,差異有統計學意義(x2=12.57,P＜0.0I；x2 =9.74,P＜0.01)；三組頸動脈斑塊檢齣數依次為43例、32例、18例,差異有統計學意義(x2=16.49,P＜0.01).結論 老年ISH患者易齣現外週動脈損害,非杓型高血壓尤為明顯,無創性baPWV、ABI、IMT指標可較好的評價血管健康狀態.
목적 응용맥박파전도속도(PWV)、과비지수(ABI)화경동맥내막중층후도(IMT)평개노년단순수축기( ISH)고혈압재표형여비표형혈압주야절률변화시적혈관건강상황.방법 안조동태혈압의검측결과,분위비표형조(74례)、표형조(78례)화정상혈압조(72례),관찰시험조화대조조baPWV、ABI、IMT.결과 비표형조굉-과맥박파속도(baPWV)、IMT치현저고우표형조( baPWV1801.61±314.27,1658.67±274.80,P＜0.01;IMT 0.96±0.22,0.87±0.19,p＜0.05),ABI치현저저우표형조(1.03±0.17,1.12±0.18,P＜0.01).당baPWV＞1400 cm/s、ABI＜0.9시,삼조검출수의차위61례、59례、41례,이급18례、9례、5례,차이유통계학의의(x2=12.57,P＜0.0I；x2 =9.74,P＜0.01)；삼조경동맥반괴검출수의차위43례、32례、18례,차이유통계학의의(x2=16.49,P＜0.01).결론 노년ISH환자역출현외주동맥손해,비표형고혈압우위명현,무창성baPWV、ABI、IMT지표가교호적평개혈관건강상태.
Objective To evaluate the relation of circadian blood pressure rhythm with vascular status in elderly patients with isolated systolic hypertension.Methods Ankle-brachial index (ABI),brachial-ankle pulse wave velocity (baPWV) and carotid intima-media thickness (IMT) were measured in 74 elderly patients with non-dipper hypertension (non-dipper group)、78 elderly patients with dipper hypertension ( dipper group),and 72 healthy controls ( control group).Results In comparison with the dipper group,baPWV and IMT of the non-dipper group were significantly increased [ baPWV (1801.61± 314.27) vs (1658.67±274.80) (cm/s)],P＜0.01; IMT:(0.96 ±0.22) vs (0.87 +0.19) (mm),(P＜0.05),while ABI of the non-dipper group was decreased (1.03 ±0.17 vs1.12 ±0.18,P＜0.01).Identification rate was significantly different among 3 groups when baPWV ＞1400 cm/s (x2 =12.57,P ＜0.01) or ABI ＜0.9 ( x2 =9.74,P ＜0.01).The detection of carotid plaques was also significantly different ( x2 =16.49,P ＜ 0.01).Conclusions These findings suggest that vascular damage could be found in elderly patients with isolated systolic hypertension,especially in those with non-dipper hypertension.ABI,baPWV and IMT measurement may be helpful for the assessment of vascular status.
