24小时动态血压监测与冠状动脉病变的关联性研究

目的研究患者24h动态血压与冠状动脉病变严重程度的关联性。方法回顾性分析我院2008年10月—2010年12月收治的127例冠心病患者临床资料,对全部患者应用冠状动脉造影术。患者冠状动脉病变严重程度以冠状动脉病变的Gensini积分与血管支数来表示。全部患者在术前与术后对肱动脉血压进行测量,术后监测24h动态血压。结果高血压组患者冠状动脉三支血管的病变患病率显著高于非高血压组,差异有统计学意义(P<0.01)。冠状动脉发生狭窄的患者,脉压与收缩压均明显高于非高血压组,差异有统计学意义(P<0.05),并且脉压与收缩压均随着患者狭窄血管其支数的增加进行增加。结论脉压是冠心病患者冠状动脉狭窄发生与发展的相关性因素,并且患者24h动态血压具有较大的预测价值,值得临床普遍推广。

Relevance Analysis of 24-Hour Ambulatory Blood Pressure Monitoring with Coronary Artery Disease

Objective Research 24-hour ambulatory blood pressure in patients with coronary artery disease severity correlation.Methods Retrospectire analysis my hospital clinical data from October 2008 to December 2010 treated 127 cases of coronary heart disease,the application of all patients coronary angiography.Severity of coronary artery disease in patients with coronary artery disease and Gensini score represented the number of arteries.All patients in the preoperative and postoperative measurements of brachial artery blood pressure in 24 hours after the ambulatory blood pressure monitoring.Results Hypertension patients with three vessel coronary artery vascular lesion prevalence inhypertensin group is significantly higher than that in no-hypertension group,the difference was statistically significant(P<0.01).The coronary artery stenosis in patients with systolic blood pressure,pulse pressure was significantly higher than that of coronary artery in no-hypertension group,the difference was statistically significant(P<0.05)and pulse pressure and systolic blood pressure,along with the patients with stenosis increase in the number of its branches to increase.Conclusion Pulse pressure to coronary heart disease in patients with coronary stenosis of its occurrence and development of related factors,and 24-hour ambulatory blood pressure in patients with greater predictive value,should be popularized clinical.