脉搏波传导速度与脑血管病的相关性

目的探讨脉搏波传导速度（PWV）与脑血管病的相关性及其在脑血管病防治中的意义。方法测定89例急性脑血管病患者的颈动脉-股动脉脉搏波传导速度（cf PWV），30例非脑血管病查体者为对照，比较分析各组的cf PWV及脑血管病不同发病形式、发病部位患者的cf PWV，分析吸烟及饮酒对脑血管病患者血管改变的影响。结果① 脑梗死组和脑出血组的双侧cf PWV均明显高于对照组（P<0.01，P<0.05）；②　皮质皮质下梗死组双侧cf PWV均明显高于小脑脑干组（P<0.01），皮质下梗死组分别与小脑脑干组及皮质皮质下梗死组的cf PWV差异不显著（P>0.05）；③脑出血组按出血部位不同分组的cf PWV差异不显著（P>0.05）；④　脑血管病患者中，吸烟组双侧cf PWV均明显低于不吸烟组（P<0.05）；不饮酒组、轻度饮酒组和大量饮酒组的cf PWV差异不明显（P>0.05）。结论① PWV是与脑梗死、脑出血的发生密切相关的重要因素；② 吸烟可能使发生脑血管病的PWV阈值下降，从而增加脑血管病的发生风险。

Pulse wave velocity and cerebrovascular diseases

Object To investigate the association between pulse wave velocity(cf-PWV) and cerebrovascular diseases and to promote the application of PWV in epidemiological studies of cerebrovascular diseases.Methods 58 patients with acute cerebral infarction(CI) and 31 patients with acute intracerebral hemorrhage(ICH) were enrolled in this study.Another 30 persons without cerebrovascular disease(CVD) served as the control group.Carotid-femoral pulse wave velocity(cfPWV) was determined and the clinical data such as age,...