中国临床医学
中國臨床醫學
중국림상의학
CLINICAL MEDICAL JOURNAL OF CHINA
2014年
6期
725-726,727
,共3页
赵瑞红%林靖宇%陈卫文%张新刚%吴学青
趙瑞紅%林靖宇%陳衛文%張新剛%吳學青
조서홍%림정우%진위문%장신강%오학청
高血压%动态血压监测%脉压%脉压指数%脉搏波传导速度
高血壓%動態血壓鑑測%脈壓%脈壓指數%脈搏波傳導速度
고혈압%동태혈압감측%맥압%맥압지수%맥박파전도속도
Hypertension%Ambulatory blood pressure monitoring%Pulse pressure%Pulse pressure index%Pulse wave velocity
目的:探讨原发性高血压(essential hypertension,EH)患者动态脉压(pulse pressure,PP)、脉压指数(pulse pressure in-dex,PPI)与脉搏波传导速度(pulse wave velocity,PWV)的关系。方法:对2013年1月—12月入选的198例原发性高血压患者进行24 h 动态血压、PWV 检测。测量并计算24 h 收缩压(24 h SBP)、24 h 舒张压(24 h DBP)、PP 及 PWV。结果:根据PWV,将198例患者分为:动脉僵硬度正常组(PWV<20%预测值)、轻度动脉硬化组(20%预测值≤PWV<30%预测值)、中度动脉硬化组(30%预测值≤PWV<50%预测值)及重度动脉硬化组(PWV≥50%预测值)。4组患者的 PP、PPI 有明显差异(P <0.05);随着动脉硬化程度加重,动态脉压(PP)、脉压指数(PPI)增大。结论:PP、PPI 可反映原发性高血压患者的动脉硬化情况。动态血压检测获得的 PP、PPI 对于临床高血压治疗有重要的指导意义。
目的:探討原髮性高血壓(essential hypertension,EH)患者動態脈壓(pulse pressure,PP)、脈壓指數(pulse pressure in-dex,PPI)與脈搏波傳導速度(pulse wave velocity,PWV)的關繫。方法:對2013年1月—12月入選的198例原髮性高血壓患者進行24 h 動態血壓、PWV 檢測。測量併計算24 h 收縮壓(24 h SBP)、24 h 舒張壓(24 h DBP)、PP 及 PWV。結果:根據PWV,將198例患者分為:動脈僵硬度正常組(PWV<20%預測值)、輕度動脈硬化組(20%預測值≤PWV<30%預測值)、中度動脈硬化組(30%預測值≤PWV<50%預測值)及重度動脈硬化組(PWV≥50%預測值)。4組患者的 PP、PPI 有明顯差異(P <0.05);隨著動脈硬化程度加重,動態脈壓(PP)、脈壓指數(PPI)增大。結論:PP、PPI 可反映原髮性高血壓患者的動脈硬化情況。動態血壓檢測穫得的 PP、PPI 對于臨床高血壓治療有重要的指導意義。
목적:탐토원발성고혈압(essential hypertension,EH)환자동태맥압(pulse pressure,PP)、맥압지수(pulse pressure in-dex,PPI)여맥박파전도속도(pulse wave velocity,PWV)적관계。방법:대2013년1월—12월입선적198례원발성고혈압환자진행24 h 동태혈압、PWV 검측。측량병계산24 h 수축압(24 h SBP)、24 h 서장압(24 h DBP)、PP 급 PWV。결과:근거PWV,장198례환자분위:동맥강경도정상조(PWV<20%예측치)、경도동맥경화조(20%예측치≤PWV<30%예측치)、중도동맥경화조(30%예측치≤PWV<50%예측치)급중도동맥경화조(PWV≥50%예측치)。4조환자적 PP、PPI 유명현차이(P <0.05);수착동맥경화정도가중,동태맥압(PP)、맥압지수(PPI)증대。결론:PP、PPI 가반영원발성고혈압환자적동맥경화정황。동태혈압검측획득적 PP、PPI 대우림상고혈압치료유중요적지도의의。
Objective:The aim of the study was to investigate the relationships among ambulatory pulse pressure (PP),pulse pressure index (PPI)and pulse wave velocity (PWV)in patients with essential hypertension(EH).Methods:A total of 198 consecutive patients with EH,who were recruited from January 2013 to December 2013 ,underwent 24-hour ambulatory blood pressure monitoring and PWV.According to the measurements,24-hour mean systolic blood pressure (24 h SBP)and 24-hour mean diastolic blood pressure (24 h DBP),PP and PWV were calculated.Results:The 198 cases were divided into 4 groups,in which PWV<20% predictive value,20% predictive value≤PWV<30% predictive value,30% predictive value≤PWV<50%predictive value and PWV≥50% predictive value.The ambulatory PP and PPI were significantly different among the 4 groups (P <0.05).As the degree of arteriosclerosis increased,the PP and PPI increased.Conclusions:Ambulatory pulse pressure (PP)and pulse pressure index (PPI)can reflect the situation of arteriosclerosis in patients with EH.The ambulatory PP and PPI obtained by ambulatory blood pressure monitoring has more practical significance in guiding the clinical treatment of hyper-tension.