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缺血性心血管病和缺血性脑血管病患者MAP、PWV、ABI的差异比较研究
引用本文:李更新,杨玉恒,马秀华,薛润发,宫进亮,冯立军,韩艳华.缺血性心血管病和缺血性脑血管病患者MAP、PWV、ABI的差异比较研究[J].疑难病杂志,2010,9(9):651-653.
作者姓名:李更新  杨玉恒  马秀华  薛润发  宫进亮  冯立军  韩艳华
作者单位:河北省迁安市人民医院心内科,064400
摘    要:目的探讨缺血性心血管疾病与缺血性脑血管疾病的脉搏波传导速度(PWV)和踝臂指数(ABI)是否存在差异。方法应用全自动动脉硬化测定仪测定缺血性心血管病患者(CAD组)、缺血性脑血管疾病患者(ICD组)和心血管神经症患者(对照组)PWV、ABI及相关参数,并进行比较。结果 CAD组患者年龄、四肢收缩压及左、右两侧的PWV明显高于对照组(P〈0.05),而四肢的平均动脉压、舒张压和ABI与对照组无统计学差异(P〉0.05);ICD组患者年龄、四肢收缩压、平均动脉压、舒张压和左、右两侧的PWV均高于CAD组及对照组(P〈0.05),而ABI及身高差异无统计学意义(P〉0.05)。结论 PWV测量可以定量反映血管的损伤,缺血性心、脑血管疾病患者存在差异,临床治疗可能需要差异化。

关 键 词:心血管病  缺血性  脑血管病  缺血性  脉搏波传导速度  踝臂指数

The difference of MAP, PWV and ABI between ischemic cardiovascular disease and ischemic cerebrovascular disease
Institution:LI Geng-xin,YANG Yu-heng,MA Xiu-hua,et al.Department of Cardiovascular,Hebei Qian'an People's Hospital,Qian'an 064400,China
Abstract:Objective To investigate the difference of pulse wave velocity(PWV) and ankle brachial index (ABI) between ischemic cardiovascular disease(CAD) and ischemic cerebrovascular disease(ICD).Methods There were 836 patients divided into CAD group,ICD group and Dalosta syndrome(healthy control) group.The ABI and PWI were detected with automatic arteriosclerosis measurement,and compared among three groups.Results The age,systolic blood pressure(SBP) of four limbs,left and right PWV in CAD patients were obviously higher than healthy control(P0.05),while there were no statistical difference between mean arterial blood pressure(MAP), diastolic blood pressure(DBP) of four limbs and ABI(P0.05).The age,SBP,MAP and DBP of four limbs,left and right PWV in ICD patients were obviously higher than those of in CAD patients and control groups(P0.05), while the ABI and height were no statistical difference(P0.05).Conclusion The quantitatively measurement of PWV could reflect the injury of artery,and there were difference between CAD and ICD in the vascular biology characteristic, suggested variance therapy should be applied.
Keywords:Cardiovascular disease  ischemic  Cerebrovascular disease  ischemic  Pulse wave velocity  Ankle brachial index
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