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老年动脉粥样硬化性肾动脉狭窄支架置入术后血压变化随访
引用本文:赵黎明,贾晓清,国希云,李晓英,盖鲁粤,杨庭树,李美花.老年动脉粥样硬化性肾动脉狭窄支架置入术后血压变化随访[J].军医进修学院学报,2012(11):1145-1146,1151.
作者姓名:赵黎明  贾晓清  国希云  李晓英  盖鲁粤  杨庭树  李美花
作者单位:1. 解放军总医院,北京 100853 门诊部干部诊疗科
2. 解放军总医院,北京 100853 心内科
3. 解放军总医院,北京 100853 南楼心血管一科
4. 南楼肾科
摘    要:目的探讨经皮腔内肾动脉支架置入术(percutaneous transluminal renal angioplasty with stent,PTRAS)治疗动脉粥样硬化性肾动脉狭窄(atherosclerotic renal artery stenosis,ARAS)对血压的影响。方法经肾动脉造影确诊的ARAS并施行PTRAS的患者50例,术后随访3-48(16.3±14.8)个月,分析PTRAS术后患者血压水平。结果 50例PTRAS全部成功,术后所有患者血压改善,术后3、6、12个月的收缩压分别为(128.80±18.13)mmHg(1mmHg=0.133kPa),(125.41±16.70)mmHg,(129.48±9.67)mmHg;舒张压分别为(71.26±9.62)mmHg,(71.58±5.80)mmHg,(73.84±9.58)mmHg,各时间点分别与术前比较差异有统计学意义(P<0.05)。结论 PTRAS术后老年人肾动脉粥样硬化性狭窄患者血压水平下降,这种下降趋势至少维持12个月。

关 键 词:动脉粥样硬化性  肾动脉梗阻  支架置入术

Follow-up of blood pressure in elderly patients with atherosclerotic renal artery stenosis after stenting
ZHAO Li-ming,JIA Xiao-qing,GUO Xi-yun,LI Xiao-ying,GAI Lu-yue,YANG Ting-shu,LI Mei-hua.Follow-up of blood pressure in elderly patients with atherosclerotic renal artery stenosis after stenting[J].Academic Journal of Pla Postgraduate Medical School,2012(11):1145-1146,1151.
Authors:ZHAO Li-ming  JIA Xiao-qing  GUO Xi-yun  LI Xiao-ying  GAI Lu-yue  YANG Ting-shu  LI Mei-hua
Institution:1Department of Outpatients;2Department of Cardiology;3First Department of Cardio-angiology in South Building;4Department of Nephrology in South Building Chinese PLA General Hospital,Beijing 100853,China
Abstract:Objective To study the effect of percutaneous transluminal renal arteriography stenting(PTRAS) on blood pressure of patients with atherosclerotic renal artery stenosis(ARAS).Methods Fifty patients with renal arteriography-diagnosed ARAS who underwent PTRAS were followed-up for 3-48(16.3±14.8)months.Their blood pressures after PTRAS were analyzed.Results The PTRAS was quite successful in the 50 patients with their blood pressure improved.The systolic blood pressure was significantly higher than the diastolic blood pressure 3,6 and 12 months after PTRAS((128.80±18.13)mmHg vs(71.26±9.62)mmHg,(125.41±16.70)mmHg vs(71.58±5.80)mmHg,(129.48±9.67)mmHg vs(73.84±9.58)mmHg,P0.05).Conclusion The blood pressure deceases in elderly ARAS patients after PTRAS at least for 12 months.
Keywords:atherosclerosis  renal artery  stent placement
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