代谢综合征合并高血压与颈动脉粥样硬化的关系  

Association between metabolic syndrome and carotid atherosclerosis

作　　者：张华山[1] 邓颖芳[2] 杨红军[3] 

机构地区：[1]荣成市人民医院内二科,264300 [2]青岛大学附属威海医院内二科 [3]威海市消防支队卫生所

出　　处：《中国实用医药》2008年第19期10-11,共2页China Practical Medicine

摘　　要：目的研究代谢综合征(Ms)与颈动脉粥样硬化的关系。方法32例研究对象根据中华医学会糖尿病学分会(CDS)关于MS的诊断建议列为MS组并且血压升高的患者列为MS并高血压组,对照组(普通高血压患者)30例。应用多普勒超声检测颈总动脉(CCA)与颈内动脉(ICA)内膜中层厚度(IMT)并观察颈动脉系统有无斑块存在。比较两组间颈动脉粥样硬化的程度。结果CCA.IMT、ICA.IMT在MS合并高血压组显著高于对照组,P<0.01。结论颈动脉粥样硬化程度与代谢综合征密切相关。颈动脉超声检查可早期发现动脉粥样硬化。Objective To investigate the association between metabolic syndrome（MS） and carotid atherosclemsis. Methods Acceding to the definition of MS by CDS in 2004,62 cases were enrolled and divided into two groups,including MS and hypertention group（ n = 32） ,and control group（ pure hypertention group）（ n = 30）. Carotid intima-media thickness（IMT） Was detected and the atherosclemtic plagues＇were measured. Results Both the IMT and the occurrence of atherosclemtic plagues were higher in MS and hypertention group compared with cantrol group. CCA-IMT was positively corkelate with MS. Conclusion The MS accelerated the occurrence and progress of carotid athemsclerosis. Clustering of MS may cause more severe carotid atherosclerosis. Carotid ultrasound may help diagnosis atherosclemsis much earlier.

关 键 词：代谢综合征 高血压 颈动脉粥样硬化 多普勒超声 

分 类 号：R589[医药卫生—内分泌] R544.1[医药卫生—内科学]