老年单纯收缩期高血压与颈动脉粥样硬化的关系

目的 探讨老年单纯收缩期高血压患者血压与颈动脉粥硬化的关系.方法 2007年5月～2008年10月在我院就诊的老年高血压患者120例,其中单纯收缩期高血压患者60例,非收缩期高血压患者60例,均予做颈动脉超声检测,比较两组颈动脉粥样硬化发生的情况.结果 老年单纯收缩期高血压患者颈动脉内膜中膜增厚及粥样斑块的发生率与老年非单纯性高血压患者相比更高,差异有统计学意义(P<0.05),提示前者病变更加严重.结论 收缩压是比舒张压更强的致动脉粥样硬化的预测因子.

Relationship between the Isolated Systolic Hypertension and Carotid Atherosclerosis in Older Patients

Aim To evaluate the relation between the systolic blood pressure and carotid atherosclerosis in older hypertensive patients.Methods 120 cases of older hypertensive patients were selected from May 2007 to October 2008.These patients were divided into 2 groups.There were 60 cases with isolated systolic hypertension in the first group and 60 cases with non-isolated systolic hypertension in the second group.Then the degree of carotid atherosclerosis was compared between two groups through ultrasonic testing.Results There were significant differences in incidence of carotid intima-media thickening and atherosclerosis between isolated systolic hypertensive group and non-isolated systolic hypertensive group.Conclusion The systolic blood pressure indicates stronger signification than the diastolic blood pressure in atherosclerosis.