文档介绍:高血压患者动态血压参数与颈动脉内中膜厚度关系的研究
【摘要】目的研究高血压病患者动态血压参数与颈动脉内中膜厚度(CAIMT)的关系。方法采用无创动态血压仪对127例高血压病患者进行 24 h动态血压监测, 同时应用高分辨率彩色多普勒超声显像仪测量患者颈动脉内中膜厚度,据颈动脉内中膜厚度分两组:CAIMT≥ mm为增厚组(n=53),CA IMT< mm为正常组(n=74)。结果①CAIMT增厚组与CAIMT正常组的临床指标比较无统计学意义;②CAIMT增厚组与CAIMT正常组的动态血压参数比较: 24 h平均收缩压(±)mmHg和(±)mmHg,24 h平均舒张压(±)mmHg和(±)mmHg,24 h脉压(±)mmHg和(±)mmHg;白天平均收缩压(± mmHg)和(±)mmHg,白天平均舒张压(±) mmHg和(±)mmHg,白天脉压(±)mmHg和(±)mmHg;夜间平均收缩压(±)mmHg和(±)mmHg,夜间平均舒张压(±)mmHg和(±)mmHg,夜间脉压(±)mmHg和(±)mmHg,两者差异均有统计学意义(P<)。CAIMT增厚组与CA%%,其差异有显著性意义(P< )。结论高血压病动态血压参数异常者颈动脉IMT增厚的发生率高,对靶器官损害有预测价值。
【关键词】高血压;动态血压;颈动脉内中膜厚度
【Abstract】Objective To study the relationship between ambulatory blood pressure monitoring (ABPM) parameters and carotid artery intimamedia thickness(CAIMT)in patients with One hundred and twentyseven hypertensives including 89 males and 38 females were enrolled in this study .High resolution color Doppler ultrasonography was used to measure the CAIMT,according to which the patients were classified into the increased IMT group(n=53)or the normal IMT group(n=74).Twentyfour hours ABPM were performed in all the ①There were no significant differences between clinical manifestations and bioch