老年动脉粥样硬化性肾动脉狭窄支架置入术后血压变化随访  

Follow-up of blood pressure in elderly patients with atherosclerotic renal artery stenosis after stenting

作　　者：赵黎明[1] 贾晓清[1] 国希云[1] 李晓英[1] 盖鲁粤[2] 杨庭树[3] 李美花[4] 

机构地区：[1]解放军总医院门诊部干部诊疗科,北京100853 [2]解放军总医院心内科,北京100853 [3]解放军总医院南楼心血管一科,北京100853 [4]解放军总医院南楼肾科,北京100853

出　　处：《军医进修学院学报》2012年第11期1145-1146,1151,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：目的探讨经皮腔内肾动脉支架置入术(percutaneous transluminal renal angioplasty with stent,PTRAS)治疗动脉粥样硬化性肾动脉狭窄(atherosclerotic renal artery stenosis,ARAS)对血压的影响。方法经肾动脉造影确诊的ARAS并施行PTRAS的患者50例,术后随访3-48(16.3±14.8)个月,分析PTRAS术后患者血压水平。结果 50例PTRAS全部成功,术后所有患者血压改善,术后3、6、12个月的收缩压分别为(128.80±18.13)mmHg(1mmHg=0.133kPa),(125.41±16.70)mmHg,(129.48±9.67)mmHg;舒张压分别为(71.26±9.62)mmHg,(71.58±5.80)mmHg,(73.84±9.58)mmHg,各时间点分别与术前比较差异有统计学意义(P<0.05)。结论 PTRAS术后老年人肾动脉粥样硬化性狭窄患者血压水平下降,这种下降趋势至少维持12个月。Objective To study the effect of percutaneous transluminal renal arteriography stenting（PTRAS） on blood pressure of patients with atherosclerotic renal artery stenosis（ARAS）.Methods Fifty patients with renal arteriography-diagnosed ARAS who underwent PTRAS were followed-up for 3-48（16.3±14.8）months.Their blood pressures after PTRAS were analyzed.Results The PTRAS was quite successful in the 50 patients with their blood pressure improved.The systolic blood pressure was significantly higher than the diastolic blood pressure 3,6 and 12 months after PTRAS（（128.80±18.13）mmHg vs（71.26±9.62）mmHg,（125.41±16.70）mmHg vs（71.58±5.80）mmHg,（129.48±9.67）mmHg vs（73.84±9.58）mmHg,P0.05）.Conclusion The blood pressure deceases in elderly ARAS patients after PTRAS at least for 12 months.

关 键 词：动脉粥样硬化性 肾动脉梗阻 支架置入术 

分 类 号：R543[医药卫生—心血管疾病]