中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
15期
19-20
,共2页
老年高血压%颈动脉粥样硬化%脉压
老年高血壓%頸動脈粥樣硬化%脈壓
노년고혈압%경동맥죽양경화%맥압
Elderly hypertension%Carotid atherosclerosis%Pulse pressure
目的：探讨老年高血压患者脉压和颈动脉粥样硬化的关系。方法：选取2013年9月-2014年11月笔者所在医院收治的96例老年高血压患者，其中脉压在40~60 mm Hg设为对照组(45例)，脉压>60 mm Hg的设为观察组(51例)，测量、比较两组患者的血糖、血脂、血压、颈动脉内中膜厚度、斑块检出率等指标。结果：两组空腹血糖与血脂比较差异无统计学意义(P>0.05)；对照组患者的平均舒张压大于观察组，平均收缩压小于观察组，差异有统计学意义(P<0.05)；对照组患者的颈动脉IMT值与斑块检出率均小于观察组，差异有统计学意义(P<0.05)；颈动脉IMT和24 h平均舒张压呈现负相关，与平均脉压及24 h平均舒张压呈现正相关。结论：老年高血压患者的脉压值与其颈动脉IMT值有密切关联，会影响其动脉粥样硬化程度，对于预防心血管疾病有重要意义。
目的：探討老年高血壓患者脈壓和頸動脈粥樣硬化的關繫。方法：選取2013年9月-2014年11月筆者所在醫院收治的96例老年高血壓患者，其中脈壓在40~60 mm Hg設為對照組(45例)，脈壓>60 mm Hg的設為觀察組(51例)，測量、比較兩組患者的血糖、血脂、血壓、頸動脈內中膜厚度、斑塊檢齣率等指標。結果：兩組空腹血糖與血脂比較差異無統計學意義(P>0.05)；對照組患者的平均舒張壓大于觀察組，平均收縮壓小于觀察組，差異有統計學意義(P<0.05)；對照組患者的頸動脈IMT值與斑塊檢齣率均小于觀察組，差異有統計學意義(P<0.05)；頸動脈IMT和24 h平均舒張壓呈現負相關，與平均脈壓及24 h平均舒張壓呈現正相關。結論：老年高血壓患者的脈壓值與其頸動脈IMT值有密切關聯，會影響其動脈粥樣硬化程度，對于預防心血管疾病有重要意義。
목적：탐토노년고혈압환자맥압화경동맥죽양경화적관계。방법：선취2013년9월-2014년11월필자소재의원수치적96례노년고혈압환자，기중맥압재40~60 mm Hg설위대조조(45례)，맥압>60 mm Hg적설위관찰조(51례)，측량、비교량조환자적혈당、혈지、혈압、경동맥내중막후도、반괴검출솔등지표。결과：량조공복혈당여혈지비교차이무통계학의의(P>0.05)；대조조환자적평균서장압대우관찰조，평균수축압소우관찰조，차이유통계학의의(P<0.05)；대조조환자적경동맥IMT치여반괴검출솔균소우관찰조，차이유통계학의의(P<0.05)；경동맥IMT화24 h평균서장압정현부상관，여평균맥압급24 h평균서장압정현정상관。결론：노년고혈압환자적맥압치여기경동맥IMT치유밀절관련，회영향기동맥죽양경화정도，대우예방심혈관질병유중요의의。
Objective:To explore the relationship between pulse pressure with carotid atherosclerosis of senile hypertensive patients.Method:96 patients with hypertension were selected in our hospital from September 2013 to November 2014,the pulse pressure between 40-60 mm Hg was selected as the control group(45 cases),PP>60 mm Hg was the observation group(51 cases),two groups of patients with blood glucose,blood lipid,blood pressure,carotid intima-media thickness,plaque detectable rate index were measured and compared.Result:Fasting blood glucose and blood lipid between the two groups had no statistical significance(P>0.05),the mean diastolic blood pressure of the control group was greater than the observation group,the average systolic blood pressure was less than the observation group(P<0.05);the carotid artery IMT and rate of artery plaque detection of the control group were less than the observation group(P<0.05);carotid artery IMT and 24 h mean diastolic pressure was negative,and the average pulse pressure 24 h,the average diastolic blood pressure was positively correlated.Conclusion:Elderly patients with hypertension pulse pressure and the carotid artery IMT values are closely related,will affect the extent of atherosclerosis,is of great significance for the prevention of cardiovascular disease.
