降压治疗对高龄原发性高血压患者颈总动脉内膜-中层厚度的影响  

Influence of Antihypertensive Therapy on Common Carotid Artery Intima-Middle Thickness in the Very Elderly Patients with Hypertension

作　　者：郑曼茹[1] 黄为民[1] 刘丰[1] 吴戴红[2] 

机构地区：[1]广东省广州市第一人民医院老年病科,510180 [2]广东省广州市第一人民医院心彩超室,510180

出　　处：《实用心脑肺血管病杂志》2006年第8期610-611,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨降压治疗对高龄原发性高血压患者颈总动脉内膜-中层厚度(IMT)的影响。方法选择我院年龄≥80岁的原发性高血压患者65例,其中血压控制组35例(血压<140/90mmHg),血压未控制组30例(血压≥140/90mmHg),经彩色多普勒超声诊断仪测定两组患者IMT,观察两组患者IMT情况。结果血压未控制组IMT(1.0±0.4)mm,较血压控制组(0.8±0.2)mm明显增厚,差异有非常显著性意义(P<0.01)。结论降压治疗可延缓或逆转高龄原发性高血压患者颈总动脉粥样硬化发展。Objective To investigate the influence of antihypertensive therapy on common carotid artery intima - media thickness （IMT） in the very elderly patients （ ≥80 years old） with hypertension. Methods Sixty -five very elderly patients were divided into two groups according to their blood pressure - level （35 cases whose blood pressure 〈 140/90mmHg in the controlled group, 30 eases whose blood pressure ≥140/90mmHg in the un - controlled group）. IMT of these patients were measured echocardiography. Results IMT of the un - controlled group was significantly increased than that of the controlled group （ P 〈0. 01 ）. Conclusion Anithypertensive therapy could delay or reverse the atherescleretic development of the common carotid artery in the very elderly patients with hypertension.

关 键 词：老年人 高血压 治疗 内膜-中层厚度 颈总动脉 

分 类 号：R544.1[医药卫生—心血管疾病]