代谢综合征患者的颈动脉内膜中层厚度及其与脉压的关系

目的 探讨代谢综合征(MS)患者的颈动脉内膜中层厚度(IMT)及其与脉压的关系.方法 检测126例MS患者和98例非MS患者的IMT增厚率,并分析IMT增厚率与脉压(PP)的关系.结果 (1)两组患者颈总动脉、颈动脉分叉、颈内动脉IMT增厚率间差异均有统计学意义(P＜0.05);(2) PP与颈动脉IMT增厚率呈正相关(r=0.62,P＜0.05).结论 MS患者IMT增厚率高于非MS患者;检测PP和颈动脉IMT对早期发现MS患者及其动脉粥样硬化有重要意义.

Clinical Study of the Carotid Arterial Intimma-Media Thickness and Pulse Pressure in Patients with Metabolic Syndrome

Objective To investigate the thickness of carotid arterial intima-media (IMT)in patients with metabolic syndrome and the relationship between IMT and pulse pressure.Methods 126 patients with metabolic syndrome and 98 healthy controls were studied.Blood fat,serum glucose,blood pressure, BMI, IMT and pulse pressure were measured.The Relationship between IMT and pulse pressure was analyzed.Results The result was obviously higher in the patients with metabolic syndrome than that in the controls (P<0.01).There was a positive relationship between IMT and pulse pressure(r=0.62,P<0.05).Conclusion It is most significant for arteriosclerotic detection and therapeutic index in patients with metabolic syndrome to measure IMT by ultrasonograph and pulse pressure by atraumatic method.