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老年高血压患者颈动脉内膜中层厚度与心血管危险因素关系
引用本文:马丽娜,冯明,刘慧珍.老年高血压患者颈动脉内膜中层厚度与心血管危险因素关系[J].实用老年医学,2010,24(1):43-44,47.
作者姓名:马丽娜  冯明  刘慧珍
作者单位:1. 首都医科大学宣武医院综合科,北京市,100053
2. 中国康复研究中心北京博爱医院急诊科,北京市,100068
摘    要:目的探讨老年高血压患者颈动脉内膜中层厚度(IMT)与心血管危险因素的相关性。方法对75例老年原发性高血压患者行超声测定颈动脉IMT,同时检测患者血压、血脂、空腹血糖(FPG)、肌酐及C-反应蛋白(CRP)。按照颈动脉IMT厚度分为IMT正常组和IMT增厚组,并对2组年龄、病程、血压及生化指标等进行比较。结果IMT增厚组较IMT正常组年龄较大,高血压病程较长,收缩压较高,高密度脂蛋白胆固醇(HDL-C)较低,低密度脂蛋白胆固醇(LDL-C)、FPG、CRP较高; 随着IMT的增厚,高LDL-C、高FPG和高CRP的检出率增加。结论老年高血压患者颈动脉IMT与心血管危险因素的聚集有显著的相关性。

关 键 词:颈动脉内膜中层厚度  老年高血压患者  心血管危险因素  高密度脂蛋白胆固醇  低密度脂蛋白胆固醇  原发性高血压患者  颈动脉IMT  C-反应蛋白

Relationship between carotid artery intima-media thickness and cardiovascular risk factors in elderly hypertensive patients
MA Li-na,FENG Ming,LIU Hui-zhen.Relationship between carotid artery intima-media thickness and cardiovascular risk factors in elderly hypertensive patients[J].Practical Geriatrics,2010,24(1):43-44,47.
Authors:MA Li-na  FENG Ming  LIU Hui-zhen
Institution:MA Li-na,FENG Ming.Department of Geriatrics,Xuanwu Hospital,Capital University of Medical Science,Beijing 100053,China,LIU Hui-zhen.Department of Emergency,China Rehabilitation Research Center,Beijing Boai Hospital,Beijing 100068
Abstract:Objective To explore the relationship between carotid artery intima-media thickness(IMT) and cardiovascular risk factors in elderly hypertensive patients. Methods 205 elderly hypertensive patients were divided into two groups according to IMT,the IMT thickening group and IMT normal group.Age,course,blood pressure and related biochemical indicators were compared between two groups. Results The IMT thickening group had older age and longer course than IMT normal group.The levels of blood pressure,LDL-C,FPG,CR...
Keywords:carotid artery intima-media thickness  cardiovascular risk factors  hypertension  aged  
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