CAJ | 학술논문

目的:探讨血压水平与原发性高血压患者颈动脉粥样硬化的关系.方法:120例患有原发性高血压年龄>60岁的患者,检测与颈动脉粥样硬化形成的相关因素,如血压水平、血糖、胆固醇、体重指数等.对每位患者进行颈动脉超声检查,记录颈动脉内中膜层的厚度.结果:多因素线性回归分析显示,收缩压、总胆固醇与颈动脉内中膜厚度呈正相关,而高密度脂蛋白胆固醇与颈动脉内中膜厚度呈负相关.分析显示,收缩压≥140 mm Hg 和总胆固醇升高为颈动脉粥样斑块形成的危险因素,而高密度脂蛋白胆固醇为其保护性因素.结论:高血压和胆固醇升高是颈动脉粥样硬化及斑块形成的危险因素.
목적:탐토혈압수평여원발성고혈압환자경동맥죽양경화적관계.방법:120례환유원발성고혈압년령>60세적환자,검측여경동맥죽양경화형성적상관인소,여혈압수평、혈당、담고순、체중지수등.대매위환자진행경동맥초성검사,기록경동맥내중막층적후도.결과:다인소선성회귀분석현시,수축압、총담고순여경동맥내중막후도정정상관,이고밀도지단백담고순여경동맥내중막후도정부상관.분석현시,수축압≥140 mm Hg 화총담고순승고위경동맥죽양반괴형성적위험인소,이고밀도지단백담고순위기보호성인소.결론:고혈압화담고순승고시경동맥죽양경화급반괴형성적위험인소.
Objective:To explore the association between blood pressure and carotid atherosclerosis in elderly patients with essential hypertension. Methods:A total of 120 patients aged 60 years or over with hypertension,detection with carotid atherosclerosis-related factors,such as the level of blood pressure,blood sugar,cholesterol,body mass index;Carotid ultrasonography was performed in all subjects for the evaluations of intima-media thickness(IMT) and plaque.Results:Multiple linear regression analyses revealed that Systolic blood pressure,total cholesterol,fasting blood glucose and carotid carotid intima thickness was positively correlated,and high-density lipoprotein cholesterol with carotid carotid intima thickness was negatively correlated.The analysis showed that the systolic blood pressure≥140 mm Hg,total cholesterol as a risk factor for carotid plaque formation,and high-density lipoprotein cholesterol for its protective factors.Conclusion:High blood pressure and high cholesterol is the risk factor for carotid atherosclerosis in elderly patients.