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血压调控达标对原发性高血压患者动脉硬化度的影响
引用本文:赵伟涛,宫海滨,黄文利,厉志红.血压调控达标对原发性高血压患者动脉硬化度的影响[J].实用全科医学,2008,6(11):1109-1110.
作者姓名:赵伟涛  宫海滨  黄文利  厉志红
作者单位:[1]江苏省徐州市心血管病研究所,221009 [2]徐州市心血管病研究所,221009 [3]徐州市中心医院心内科,221009 [4]徐州市中心医院体检中心,221009 [5]徐州市中心医院超声科,221009
基金项目:国家自然科学基金资助项目(30572073); 江苏省自然科学基金项目(DK2005428); 江苏省卫生厅重大项目(K200402); 江苏省医学重点人才(RC2007024)
摘    要:目的探讨血压调控达标对原发性高血压患者动脉硬化度的影响。方法应用脉搏波传导速度自动测量系统测定颈动脉-股动脉脉搏波速度(carotid—femoral pulse wave velocity,C—FPWV),作为反映动脉硬化度的参数。对69例高血压病降压达标患者、56例高血压病降压未达标患者和54例健康体检者进行了C—FPWV检测。结果降压未达标的高血压患者血管硬化度(12.70±2.82)m/s]明显高于健康人的血管硬化度(11.23±2.89)m/s](P〈0.05),也明显高于降压达标者(11.96±3.62)m/s](P〈0.05)。降压达标的高血压患者的动脉硬化度高于健康人的动脉硬化度(P〈0.05)。多元逐步回归分析结果表明年龄、脉压与反映大动脉硬化度的C—FPWV成正相关(P〈0.01),回归方程为PWV(m/s)=4.68+0.09×年龄(岁)+0.04×脉压(mmHg)。结论通过对血压的调控,将血压控制达标可以改善高血压患者的动脉硬化度。年龄、脉压与大动脉硬化度密切相关。

关 键 词:抗高血压治疗  脉搏波传导速度  动脉硬化度

The Change of Arterial Stiffness in Primary Hypertension Patients with Reasonable Treatment
ZHAO Wei-tao,GONG Hai-bin,HUANG Wen-li,et al..The Change of Arterial Stiffness in Primary Hypertension Patients with Reasonable Treatment[J].Applied Journal Of General Practice,2008,6(11):1109-1110.
Authors:ZHAO Wei-tao  GONG Hai-bin  HUANG Wen-li  
Institution:ZHAO Wei-tao,GONG Hai-bin,HUANG Wen-li,et al.Cardiovascular Disease Institute of Xuzhou,Jiangsu 221009,China
Abstract:Objective To explore the change of arterial stiffness in primary hypertension patients with reasonable treatment.Methods Carotid-femoral pulse wave velocity(C-FPWV) measured by pulse wave conduction speed automatic measurement system reflects the artery stiffness as the parameter.Pulse wave velocity were measured in sixty-nine primary hypertension patients with reasonable treatment,fifty-six hypertension patients with unreasonable treatment and fifty-four people with health examination.Results The arterial ...
Keywords:Antihypertension  Pulse wave velocity  Arterial stiffness  
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