【作者】 张会珍; 肖冬; 朱建英; 王辉; 李延敬;
【Author】 ZHANG Hui-Zhen,XIAO Dong,ZHU Jian-Ying,WANG Hui,and LI Yan-Jing(Department of Cardiology,Jinan Hospital,Jinan,Shandong 250013,China)
【机构】 山东济南医院心内科;
【摘要】 目的探讨老年高血压患者动态脉压与脉搏波传导速度的相关性。方法选择原发性高血压患者229例,根据24 h动态血压监测的结果,按照动态脉压值分为动态脉压<60 mmHg组(112例)和动态脉压≥60mmHg组(117例)。2组均行颈桡脉搏波传导速度、血生化检测。结果动态脉压≥60 mmHg组颈-桡动脉脉搏波传导速度显著高于动态脉压<60 mmHg组(11.5±1.4 m/s比10.3±1.2 m/s,P<0.01);颈-桡动脉脉搏波传导速度与年龄、偶测收缩压、空腹血糖、总胆固醇、低密度脂蛋白胆固醇、24 h收缩压、白昼收缩压、夜间收缩压、24 h脉压、白昼脉压、夜间脉压呈正相关(r=0.302,0.248,0.224,0.306,0.365,0.466,0.492,0.372,0.552,0.546,0.488,均P<0.01);多元线性逐步回归分析发现,24 h脉压、24 h收缩压、年龄、低密度脂蛋白胆固醇是影响颈-桡动脉脉搏波传导速度主要危险因素。结论老年高血压患者动态脉压与脉搏波传导速度密切相关。 更多还原
【Abstract】 Aim To investigate the association between ambulatory pulse pressure and carotid-radial pulse wave velocity(crPWV) in elderly patients with essential hypertension.Method According to the results of 24 h ambulatory pulse pressure(APP),229 patients were divided to APP≥60 mmHg group(n=117) and APP<60 mmHg group(n=112),crPWV,blood glucose and lipid profiles were recorded.Results The crPWV of APP≥60 mmHg group was significantly higher than APP<60 mmHg group(11.5±1.4 m/s vs 10.3±1.2 m/s,P<0.0... 更多还原 【关键词】 高血压; 脉搏波传导速度; 动态脉压; 【Key words】 Hypertension; Pulse Wave Velocity; Ambulatory Pulse Pressure;
【分类号】R544.1
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