岳阳职业技术学院学报
嶽暘職業技術學院學報
악양직업기술학원학보
Yueyang Vocational Technical College
2010年
6期
93~95
,共null页
杨贵仁 黎逢保 汤君燕 刘界军
楊貴仁 黎逢保 湯君燕 劉界軍
양귀인 려봉보 탕군연 류계군
老年高血压 动态血压监测 左心室肥厚 颈动脉内-中膜
老年高血壓 動態血壓鑑測 左心室肥厚 頸動脈內-中膜
노년고혈압 동태혈압감측 좌심실비후 경동맥내-중막
senile hypertension;Blood pressure determination; left ventricular hypertrophy;carotid intima-media thickness
目的:观察老年高血压病患者动态血压参数对左室肥厚及颈动脉硬化的影响。方法:对明确诊断的老年高血压病患者227例进行超声心动图和颈动脉超声、动态血压监测检查,根据左室质量指数将患者分成左室肥厚组(n=631和无左室肥厚组(n=164);根据颈动脉内一中膜厚度分为颈动脉IMT增厚组(n:87)及无增厚组(n=140)。测定动态血压参数,血脂等指标,并进行比较。结果:左室肥厚组与无左室肥厚组临床指标比较差异无统计学意义(P〉0.05);24h、白昼、夜间的平均收缩压、舒张压、脉压、24hSBPV、24hDBPV、非勺型血压发生率等方面,左室肥厚组明显高于无左室肥厚组(P〈0.05)。颈动脉IMT增厚组与无增厚组临床指标比较差异无统计学意义(P〉0.05);24h、白昼、夜间的平均收缩压、舒张压、脉压、24hSBPV、24hDBPV,非勺型血压发生率等方面.颈动脉IMT增厚组明显高于无增厚组(P〈0.05)。结论:老年高血压左室肥厚及颈动脉内一中膜增厚与动态血压参数密切相关.动态血压参数可能是影响老年高血压患者病情进展及预后的重要因素。
目的:觀察老年高血壓病患者動態血壓參數對左室肥厚及頸動脈硬化的影響。方法:對明確診斷的老年高血壓病患者227例進行超聲心動圖和頸動脈超聲、動態血壓鑑測檢查,根據左室質量指數將患者分成左室肥厚組(n=631和無左室肥厚組(n=164);根據頸動脈內一中膜厚度分為頸動脈IMT增厚組(n:87)及無增厚組(n=140)。測定動態血壓參數,血脂等指標,併進行比較。結果:左室肥厚組與無左室肥厚組臨床指標比較差異無統計學意義(P〉0.05);24h、白晝、夜間的平均收縮壓、舒張壓、脈壓、24hSBPV、24hDBPV、非勺型血壓髮生率等方麵,左室肥厚組明顯高于無左室肥厚組(P〈0.05)。頸動脈IMT增厚組與無增厚組臨床指標比較差異無統計學意義(P〉0.05);24h、白晝、夜間的平均收縮壓、舒張壓、脈壓、24hSBPV、24hDBPV,非勺型血壓髮生率等方麵.頸動脈IMT增厚組明顯高于無增厚組(P〈0.05)。結論:老年高血壓左室肥厚及頸動脈內一中膜增厚與動態血壓參數密切相關.動態血壓參數可能是影響老年高血壓患者病情進展及預後的重要因素。
목적:관찰노년고혈압병환자동태혈압삼수대좌실비후급경동맥경화적영향。방법:대명학진단적노년고혈압병환자227례진행초성심동도화경동맥초성、동태혈압감측검사,근거좌실질량지수장환자분성좌실비후조(n=631화무좌실비후조(n=164);근거경동맥내일중막후도분위경동맥IMT증후조(n:87)급무증후조(n=140)。측정동태혈압삼수,혈지등지표,병진행비교。결과:좌실비후조여무좌실비후조림상지표비교차이무통계학의의(P〉0.05);24h、백주、야간적평균수축압、서장압、맥압、24hSBPV、24hDBPV、비작형혈압발생솔등방면,좌실비후조명현고우무좌실비후조(P〈0.05)。경동맥IMT증후조여무증후조림상지표비교차이무통계학의의(P〉0.05);24h、백주、야간적평균수축압、서장압、맥압、24hSBPV、24hDBPV,비작형혈압발생솔등방면.경동맥IMT증후조명현고우무증후조(P〈0.05)。결론:노년고혈압좌실비후급경동맥내일중막증후여동태혈압삼수밀절상관.동태혈압삼수가능시영향노년고혈압환자병정진전급예후적중요인소。
Objective: To investigate the effect of left ventricular hypertrophy and carotid artery atherosclerosis by dynamic blood pressure parameters in senile hypertension patients.Methods: The 227 senile hypertension patients underwent ultrasound examinations of the heart and the IMT of carotid arteries. They were classified as LVH group (n=63) and no LVH group (n=164) according to left ventricular mass index; They were also divided into IMT increase group (n=87)or no IMT increase group (n=140) to carotid intima-media thickness.The ABPM examination were performed in all patients.Then the data comparison was made.Results: (l)There were no significant differences in clinical manifestations and biochemical parameters between the groups with LVH and without LVH (P 〉0.05);the levels of 24 h SBPL,24 h DBPL,dSBP,dDBP, Nsbpl,nDBPL,24 h PP,24 h SBPV ,24 h DBPV and the rate of non-dippers blood pressure in LVH group were higher than those in the group without LVH (P〈0.05). (2)There were also no significant differences in clinical manifestations between the IMT increased and normal IMT groups (P〉0.05);the levels of 24 h SBPL,24 h DBPL dSBP, dDBP, nSBPL,nDBPL,24 h PP,24 h SBPV ,24 h DBPV and the rate of non-dippers blood pressure in IMT increased group were higher than those in the group with normal IMT (P〈0.05). Conclusion :The LVH and IMT of carotid artery, correlated immediately with the parameter of ABPM in senile hypertension,those might play the important roles in the development and prognosis of senile hypertension.