CAJ | 학술논문

目的：探讨同步瞬时波强技术（wave intensity，WI）在原发性高血压患者弦脉的脉象客观化研究中的应用价值。方法：对70例原发性高血压患者（内膜不增厚的36例为A组，内膜增厚的34例为B组）及33例健康人（对照组）行同步颈动脉WI检测及桡动脉脉象检测。应用Aloka公司Prosound α7彩色多普勒超声诊断仪行颈动脉WI检测，应用DDMX-100脉象仪行桡动脉脉象参数检测，分析并比较WI参数及脉象参数。结果：A组较对照组主波幅度（h1）、主波上1/5处的宽度与脉动同期之比（w2/t）增高（均P<0.05）。 B组较对照组h1、重搏前波幅度（h3）、降中峡幅度（h4）、h3/h1、h4/h1、主波上1/3处的宽度与脉动周期之比（w1/t）、w2/t增高，重搏波幅度（h5）、h5/h1降低（均P<0.05）。 A组W1与htural-loaded Wordsdummy textptrdummyTS王琴dummy textptrdummyTSWANG Qin海外英语（上）Overseas English20157139-140=http://d.g.wanfangdata.com.hk/Periodical_hwyy-z201507063.aspxFhttp://f.g.wanfangdata.com.hk/download/Periodical_hwyy-z201507063.aspx CNZHhwyy-z?z鹹`?dummyTSt模因作为文化重要组成部分且文化复制因子，在文化进化过程中不可或缺。文化负载词翻译的恰当与否直接关系到原作品意旨能否传递，也关系到其中文化信息的传递和文化交流的成功与否。文化负载词的英译是使凝结在汉语词汇中的文化模因在译入语中传播。该文根据模因作为复制因子具备其自身的发展购相关。结论：原发性高血压患者脉象参数符合弦脉表现，且脉象参数与WI参数间具有良好的相关性，间接反映WI参数与弦脉的相关性，进一步完善脉象的客观化研究。
목적：탐토동보순시파강기술（wave intensity，WI）재원발성고혈압환자현맥적맥상객관화연구중적응용개치。방법：대70례원발성고혈압환자（내막불증후적36례위A조，내막증후적34례위B조）급33례건강인（대조조）행동보경동맥WI검측급뇨동맥맥상검측。응용Aloka공사Prosound α7채색다보륵초성진단의행경동맥WI검측，응용DDMX-100맥상의행뇨동맥맥상삼수검측，분석병비교WI삼수급맥상삼수。결과：A조교대조조주파폭도（h1）、주파상1/5처적관도여맥동동기지비（w2/t）증고（균P<0.05）。 B조교대조조h1、중박전파폭도（h3）、강중협폭도（h4）、h3/h1、h4/h1、주파상1/3처적관도여맥동주기지비（w1/t）、w2/t증고，중박파폭도（h5）、h5/h1강저（균P<0.05）。 A조W1여htural-loaded Wordsdummy textptrdummyTS왕금dummy textptrdummyTSWANG Qin해외영어（상）Overseas English20157139-140=http://d.g.wanfangdata.com.hk/Periodical_hwyy-z201507063.aspxFhttp://f.g.wanfangdata.com.hk/download/Periodical_hwyy-z201507063.aspx CNZHhwyy-z?z함`?dummyTSt모인작위문화중요조성부분차문화복제인자，재문화진화과정중불가혹결。문화부재사번역적흡당여부직접관계도원작품의지능부전체，야관계도기중문화신식적전체화문화교류적성공여부。문화부재사적영역시사응결재한어사회중적문화모인재역입어중전파。해문근거모인작위복제인자구비기자신적발전구상관。결론：원발성고혈압환자맥상삼수부합현맥표현，차맥상삼수여WI삼수간구유량호적상관성，간접반영WI삼수여현맥적상관성，진일보완선맥상적객관화연구。
Objective:To explore the application value of the ultrsound technology wave intense (WI) in pulse research on string-like pulse in patients with primary hypertension. Methods:70 cases of patients with primary hypertension were chosen in this research. Patients were divided into two groups:group A including 36 cases of the patients without carotid intima-media thickening and group B including 34 cases of the patients with carotid intima-media thickening. 33 cases of healthy people were chosen in the same period as the control group. All cases were examined by synchronously applying instantaneous WI technique and pulsography. The indexes of WI of carotid artery were detected with color Doppler ultrasonography,and the pa-rameters of pulse presentations of radial artery were detected by pulsography. All the parameters were researched and compared. Results:Compared with the control group,h1 and w2/t of pulse graph parameters were sighnificantly higher than group A. Com-pared with the control group,h1,h3,h4,h3/h1,h4/h1,w1/t and w2/t of pulse graph parameters were sighnificantly higher and h5 and h5/h1 of pulse graph parameters were sighnificantly lower than group B. There was a positive correlation between W1 and h1,be-tween NA and h3,h4,between β and h3,h4,h3/h1,h4/h1,between EP and h3,h4,between PWVβ and h3/h1,between AI and h3,h4,h3/h1, h4/h1 in group A. There was a positive correlation between W1 and h1,between NA and h3,h4,between β and h3,h4,between EP and h4,between PWVβ,PWVWI and h3/h1,between AI and h3,h4,h3/h1,h4/h1 in group B,a negative correlation between β and h5, h5/h1. There was a positive correlation between W1 and h1,between NA and h3,h4,h3/h1,h4/h1,between β and h3,h3/h1,between EP and h3,h4,between PWVWI and h3/h1,between AC and h5,h5/h1,between AI and h3,h4,h3/h1,h4/h1 in control group,a negative cor-relation between AI and h5,h5/h1. Conclusions:The parameters of pulse presentations in patients with primary hypertension com-plied with string-like pulse. There were significant correlative relationship between WI parameters and pulse condition. And this indirectly proved that there were significant correlative relationship between WI parameters and string-like pulse. WI technology is helpful to improve the objectification of pulse condition.