腹部脂肪分布与动态血压的相关性研究  

Relationship between abdominal fat and ambulatory blood pressure monitoring

作　　者：穆华[1] 田志强[1] 钟健[1] 陈雪梅[1] 陈静[1] 祝之明[1] 

机构地区：[1]第三军医大学大坪医院高血压内分泌科,重庆400042

出　　处：《重庆医学》2006年第9期785-786,共2页Chongqing medicine

摘　　要：目的探讨腹部脂肪分布与动态血压的关系。方法109例住院患者,其中45例是未行干预治疗的患者,应用超声测量腹内脂肪及腹壁脂肪含量,并计算脂肪指数,同时进行动态血压监测,分析腹部脂肪分布与动态血压监测的各项指标的关系。结果109例研究对象的腹壁脂肪与白天平均压具有相关性;腹内脂肪、脂肪指数与动态血压监测的各项指标均具有相关性;未行干预治疗患者的腹内脂肪、脂肪指数与动态血压各项监测指标则具有更强的相关性。结论腹内脂肪含量与全天、白天、夜间舒张压,全天、白天、夜间平均压具有显著相关性,与全天、白天舒张压相关性更好,说明腹内脂肪的堆积预示着心血管危险因素的增加,故减少腹内脂肪含量,对降低高血压的危险因素具有一定临床意义。Objective To investigate the relationship between the distribution of abdominal fat and blood pressure. Methods One hundred nine patients were enrolled in this study, The abdominal fatty tissue were examined with B-mode ultrasound, Simultaneously the patient performed ambulatory blood pressure monitoring. The correlation between the distribution of abdominal adipose and the index of ambulatory blood pressure monitoring were analyzed. Results There was a positive correlation between the subcutaneous fat thickness and the mean blood pressure of daytime. The intra abdominal fat thickness and the fat index correlated positively with the index of ambulatory blood pressure monitoring. The subcutaneous fat thickness,the intra-abdominal fat thickness and the fat index of the patients with preliminary diagnosis hypertension showed a better positive correlation with the index of ambulatory blood pressure monitoring. Conclusion The intra-abdominal fat thickness is closely related with not only DBP but also mean blood pressure of entire-day, daytime, nighttime, which indicates the accumulation of intra-abdominal fat means the increase of cardiovascular disease. So it is important to reduce intra-abdominal fat to prevent and cure hypertension.

关 键 词：腹部脂肪 腹内脂肪 动态血压 

分 类 号：R544.1[医药卫生—心血管疾病] R589.2[医药卫生—内科学]