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早期无创动脉硬化检测的临床应用
引用本文:陈志君,丘军,杨雪骅,卢少蓉.早期无创动脉硬化检测的临床应用[J].中国医药导报,2011,8(27):43-45.
作者姓名:陈志君  丘军  杨雪骅  卢少蓉
作者单位:上海中冶医院内科,上海,200941
摘    要:目的:观察在早期无创动脉硬化检测结果指导下的诊断与治疗,对降低动脉硬化及其相关疾病发生率的临床应用价值。方法:将230例单纯高血压病患者分为观察组150例和对照组80例,两组均进行踝-臂脉搏波传导速度(baPWV)、踝臂指数(ABI)检查及常规内科体格检查。对观察组进行个体化分析baPWV、ABI数值并提出指导性意见;对照组仅进行常规内科治疗。结果:观察组患者高血压病治疗率及控制率明显高于对照组(49.3%vs 41.3%、9.63%vs 5.99%),干预12个月后观察组baPWV明显低于对照组(13.94±5.66)m/s vs(16.12±6.36)m/s],动脉硬化及其相关性心脑血管疾病的发生率明显低于对照组(10.6%vs 17.5%),两组比较,差异均有统计学意义(均P〈0.05)。结论:早期无创动脉硬化检测指标指导下的临床诊疗行为可以明显提高高血压病患者的治疗率及控制率,改善baPWV、ABI,并可大幅度减少心脑血管事件的发生。

关 键 词:动脉硬化  踝臂脉搏波传导速度  踝臂指数  无创测量

Clinical use of early no-invasive detection of atherosclerosis
CHEN Zhijun,QIU Jun,YANG Xuehua,LU Shaorong.Clinical use of early no-invasive detection of atherosclerosis[J].China Medical Herald,2011,8(27):43-45.
Authors:CHEN Zhijun  QIU Jun  YANG Xuehua  LU Shaorong
Institution:CHEN Zhijun,QIU Jun,YANG Xuehua,LU Shaorong Department of Internal Medicine,Zhongye Hospital in Shanghai City,Shanghai 200941,China
Abstract:Objective: To investigate the possibility of decreasing the occurrences of atherosclerosis and its related diseases with the diagnosis and treatment under the guide of early no-invasive detection of atherosclerosis.Methods: 230 hypertension patients without other diseases were divided into control group(n=80) and observation group(n=150).baPWV,ABI and ordinary physical examination were carried out in all patients.Patients in observation group were treated individually under the guide of baPWV and ABI analys...
Keywords:Atherosclerosis  Brachial-ankle pulse wave velocity  Ankle-brachial index  No-invasive detection  
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