中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2012年
23期
3-5
,共3页
高血压病%动态血压监测%心血管病危险因素%颈动脉粥样硬化
高血壓病%動態血壓鑑測%心血管病危險因素%頸動脈粥樣硬化
고혈압병%동태혈압감측%심혈관병위험인소%경동맥죽양경화
Essential hypertension%Ambulatory blood pressure monitoring%Risk factor of cardiovascular disease%Carotid artery artherosclerosis
目的 探讨高血压动态血压参数及心血管病危险因素对颈动脉粥样硬化的预测价值.方法 对所有入选患者询问病史、体检并行动态血压监测、颈动脉超声及血生化检测.结果 颈动脉粥样硬化组男性患者比率、平均年龄、高血压病程、吸烟者比例、尿酸、总胆固醇、低密度脂蛋白胆固醇水平高于对照组,高密度脂蛋白胆固醇水平低于对照组,24 h收缩压、白昼收缩压、夜间收缩压、24 h脉压、白昼脉压、夜间脉压水平、非杓型血压检出率及其他心血管病危险因素高于无颈动脉粥样硬化组(对照组),差异有统计学意义(P均＜ 0.05).结论 男性、年长、高血压病程、吸烟者、尿酸、血脂异常,血压昼夜节律异常、收缩压及脉压差增大以及心血管病危险因素聚集对颈动脉粥样硬化病变形成的影响更明显.
目的 探討高血壓動態血壓參數及心血管病危險因素對頸動脈粥樣硬化的預測價值.方法 對所有入選患者詢問病史、體檢併行動態血壓鑑測、頸動脈超聲及血生化檢測.結果 頸動脈粥樣硬化組男性患者比率、平均年齡、高血壓病程、吸煙者比例、尿痠、總膽固醇、低密度脂蛋白膽固醇水平高于對照組,高密度脂蛋白膽固醇水平低于對照組,24 h收縮壓、白晝收縮壓、夜間收縮壓、24 h脈壓、白晝脈壓、夜間脈壓水平、非杓型血壓檢齣率及其他心血管病危險因素高于無頸動脈粥樣硬化組(對照組),差異有統計學意義(P均＜ 0.05).結論 男性、年長、高血壓病程、吸煙者、尿痠、血脂異常,血壓晝夜節律異常、收縮壓及脈壓差增大以及心血管病危險因素聚集對頸動脈粥樣硬化病變形成的影響更明顯.
목적 탐토고혈압동태혈압삼수급심혈관병위험인소대경동맥죽양경화적예측개치.방법 대소유입선환자순문병사、체검병행동태혈압감측、경동맥초성급혈생화검측.결과 경동맥죽양경화조남성환자비솔、평균년령、고혈압병정、흡연자비례、뇨산、총담고순、저밀도지단백담고순수평고우대조조,고밀도지단백담고순수평저우대조조,24 h수축압、백주수축압、야간수축압、24 h맥압、백주맥압、야간맥압수평、비표형혈압검출솔급기타심혈관병위험인소고우무경동맥죽양경화조(대조조),차이유통계학의의(P균＜ 0.05).결론 남성、년장、고혈압병정、흡연자、뇨산、혈지이상,혈압주야절률이상、수축압급맥압차증대이급심혈관병위험인소취집대경동맥죽양경화병변형성적영향경명현.
Objective To investigate the predictive value of the ambulatory blood pressue monitoring parameters and cardiovascular risk factor on carotid artery artherosclerosis in essential hypertension patients.Methods All selected patients were inquired for case history and given physical examination,ambulatory blood pressure monitoring,carotid ultrasound examination and blood biochemistry detection.Results The ratio of male patients,smoking,mean age,duration of hypertension,smokers proportion,the levels of UA,total cholesterol and low density lipoprotein cholesterol in carotid artery artherosclerosis group were higher than those in control group; and the level of high density lipoprotein cholesterol in carotid artery artherosclerosis group was lower than that in control group,there were significant differences between the two groups (P ＜ 0.05).The levels of the 24 h SBP,dSBP,nSBP,24 h PP,dPP,nPP and the ratio of non-dipper blood pressure in CAS group were higher than those in control group,there were significant differences (P ＜ 0.05).Conclusions It has more significant on the impact of carotid artery artherosclerotic lesion formation in that of male,elder,the course of hypertension,smoking,UA,dyslipidemia,non-dipper blood pressure,systolic blood pressure,pulse pressure and the gather of risk factor of cardiovascular.
