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lao nian gao xue ya bing bing ren dong tai mai ya yu jing dong mai ying hua de guan xi
Author(s): 
Pages: 730-731
Year: Issue:  6
Journal: Research of Traditional Chinese Medicine

Keyword:  动态血压高血压脉压动脉硬化;
Abstract: 目的观察老年高血压病病人动态血压包括脉压(PP)的变化,以及脉压(PP)与颈动脉内膜-中膜厚度(IMT)的相关性。方法测量110例老年高血压病病人24h动态脉压,计算昼夜PP的水平及PP的变化幅度,根据24h PP的水平分为24h PP<60mmHg组和24h PP≥60 mmHg组,多普勒超声检查颈动脉内膜中层厚度。比较两组血压参数与内膜-中膜厚度的差异,分析IMT和脉压各项指标的相关性。结果24h PP≥60mmHg组与24h PP<60mmHg组的颈动脉IMT比较有统计学意义(P<0.01),24h脉压、白天均脉压、夜间平均脉压与颈动脉IMT有明显相关性(r值分别为0.427、0.352、0.576,P<0.05或P<0.01)。结论老年高血压病病人的脉压尤其是夜间脉压对颈动脉IMT的影响明显。
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