24小时平均脉压与心血管损害的关系  

作　　者：唐阳峰 苏伟青[1] 颜栋利 

机构地区：[1]广东省廉江市人民医院心内科心功能室

出　　处：《当代医学》2011年第32期87-88,共2页Contemporary Medicine

摘　　要：目的探讨中老年人24小时平均脉压与心血管损害的关系。方法对150名确诊中老年冠心病患者其中包含住院患者,分别进行24h平均脉压测定然后将测定值分成2个等级:A组≤60mmHg、B组>6OmmHg;分析各组脉压特点及与心血管损害的关系。结果 B组患者高血脂、高血压等冠心病危险因素明显高于A组所占比例,P<O.05,ASBP、ADBP及AMBP随脉压增大显著增加,均P<0.01。二三支病变和左主干病变B组明显比A组高,单支病变结果相反,均P<O.O1。结论 24小时平均脉压是心血管损害较好的预测因子和指标,反映中老年人血压变化特点,与心血管损害成正相关。Objective To explore in the elderly 24 h average pulse pressure and cardiovascular damage relations. Methods 150 patients diagnosed in elderly patients with coronary heart disease including inpatients, respectively 24h average pressure determination and determination of value will be divided into 2 levels： group A 〈 60mmHg, B 〉 60mmHg; analysis of pulse pressure and cardiovascular damage components characteristics and relationship. Results In the B group of patients with high blood lipids, hypertension and other risk factors of coronary heart disease was higher than that in the A group the proportion, P〈0.05, ASBP, ADBP and AMBP with increased pulse pressure increased significantly, P〈0.01 for all. Two or three lesions and left main lesion in B group was significantly higher than in group A, single branch lesion findings to the contrary, all P〈0.01 .Conclusion The 24h average pulse pressure is a better predictor of cardiovascular damage and index, reflecting the characteristics of blood pressure variability in the elderly with cardiovascular damage, positive correlation.

关 键 词：脉压 心血管 损害 

分 类 号：R54[医药卫生—心血管疾病]