CAJ | 학술논문

目的探讨单纯舒张期高血压（IDH）与动脉硬度的关系。方法研究对象包括60例IDH患者（IDH组）、60例高血压患者（收缩压及舒张压均升高患者，为SDH组）及健康人58例（对照组）。测量及比较臂-踝脉搏波速度（baPWV）。结果三组间年龄、总胆固醇和血糖差异无统计学意义。体重指数及尿酸IDH组和SDH组高于对照组，差异有统计学意义（P＜0.05）。SDH组baPWV值较IDH组高，但差异无统计学意义（P＞0.05）；IDH组baPWV值较对照组显著升高，差异有显著统计学意义（P＜0.01）；不同级别的IDH患者baPWV值差异有统计学意义（P＜0.05）。结论 IDH患者动脉弹性降低，舒张压水平越高，动脉弹性降低越明显。
목적탐토단순서장기고혈압（IDH）여동맥경도적관계。방법연구대상포괄60례IDH환자（IDH조）、60례고혈압환자（수축압급서장압균승고환자，위SDH조）급건강인58례（대조조）。측량급비교비-과맥박파속도（baPWV）。결과삼조간년령、총담고순화혈당차이무통계학의의。체중지수급뇨산IDH조화SDH조고우대조조，차이유통계학의의（P＜0.05）。SDH조baPWV치교IDH조고，단차이무통계학의의（P＞0.05）；IDH조baPWV치교대조조현저승고，차이유현저통계학의의（P＜0.01）；불동급별적IDH환자baPWV치차이유통계학의의（P＜0.05）。결론 IDH환자동맥탄성강저，서장압수평월고，동맥탄성강저월명현。
Objective To explore the relationship of arterial stiffness and isolated diastolic hypertension(IDH). Meth-ods Brachial- ankle pulse wave velocity(baPWV) were measured in 60 IDH patients, 60 combined systolic- diastolic hy-pertension (SDH) patients and 58 healthy persons (control group). Results There was no significant difference of age, total cholesterol and blood glucose among three groups. Body mass index and blood uric acid were significantly higher (P<0.05) in IDH group and SDH group than in control group. BaPWV value in IDH group was a little lower than that in SDH group, but significantly higher than that in control group(P<0.01). There was significant difference of baPWV value in patients with different degree of IDH (P<0.05). Conclusion Arterial elasticity decreases in patients with IDH and more significantly in those with higher IDH.