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糖尿病及糖尿病合并高血压对动脉僵硬度的影响
引用本文:吴燕妮,洪小苏. 糖尿病及糖尿病合并高血压对动脉僵硬度的影响[J]. 江苏医药, 2011, 37(3)
作者姓名:吴燕妮  洪小苏
作者单位:苏州大学附属第二医院心血管病科,215004
摘    要:
目的探讨糖尿病及糖尿病合并高血压患者动脉僵硬度的变化。方法将188例患者分为健康对照组(A组,30例),单纯糖尿病组(B组,33例),单纯高血压病组(C组,46例)及糖尿病合并高血压组(D组,79例)。测量臂-踝脉搏波速度(baPWV)、踝臂指数(ABI);检测血脂、糖化血红蛋白(HbA1c)、血糖及肾功能。结果 D组baPWV大于B组和C组,B组、C组及D组均大于A组(P<0.05)。多元逐步回归分析提示年龄、收缩压(SBP)和HbA1c是baPWV的独立影响因素。结论糖尿病合并高血压患者动脉僵硬度大于单纯糖尿病或单纯高血压患者;年龄、SBP和HbA1c是baPWV的独立影响因素。

关 键 词:臂-踝脉搏波速度  动脉僵硬度  糖化血红蛋白  糖尿病  高血压病  

Effects of diabetes mellitus combined with hypertension on arterial stiffness
WU Yanni,HONG Xiaosu. Effects of diabetes mellitus combined with hypertension on arterial stiffness[J]. Jiangsu Medical Journal, 2011, 37(3)
Authors:WU Yanni  HONG Xiaosu
Affiliation:WU Yanni,HONG Xiaosu.Department of Cardiovascular Diseases,Affiliated Second Hospital,Soochow University,Suzhou 215004,CHINA
Abstract:
Objective To investigate the variation of arterial stiffness in diabetic(DM) patients and DM combined with hypertension.Methods A total of 188 patients were divided into four groups of healthy control(group A,30 cases),DM(group B,33 cases),hypertension(group C,46 cases) and DM with hypertension(group D,79 cases).Brachial-ankle pulse wave velocity(baPWV),ankle-brahial index(ABI) were measured.Blood glucose,glycosylated hemoglobin 1c(HbA1c),lipids and renal functions were examined.Results baPWV was greater in...
Keywords:Brachial-ankle pulse wave velocity  Arterial stiffness  Glycosylated hemoglobin 1c  Diabetes mellitus  Hypertension  
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