老年人脉压与多发性腔隙性脑梗死的相关性研究  

作　　者：向家奎 

机构地区：[1]湖南省龙山县人民医院神经内科,湖南416800

出　　处：《当代医学》2013年第18期93-94,共2页Contemporary Medicine

摘　　要：目的研究老年人脉压与多发性腔隙性脑梗死的相关性。方法选择2010年4月-2012年4月收治的116例老年高血压患者为研究对象,按照常规MRI检查结果对患者是否存在多发性腔隙性脑梗死进行判定。并根据判定结果,将患者分为存在多发性腔隙性脑梗死组(试验组)和无腔隙性脑梗死组(对照组),每组各58例。分别对两组患者24h内收缩压(SBP)、舒张压(DBP)、脉压值(PP)进行检测记录,并对甘油三酯(TG)、载脂蛋白B(apoB)及空腹血糖(FBG)三项常规检测指标进行记录。对记录到的两组患者的各项数据进行比较分析。结果试验组患者的脉压值(PP)明显高于对照组,两组比较差异有统计学意义(P<0.05);试验组患者的甘油三酯(TG)、载脂蛋白B(apoB)及空腹血糖(FBG)三项常规检测指标均明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论老年人脉压缩小是发生多发性腔隙性脑梗死的独立危险因素,并且与甘油三酯(TG)、载脂蛋白B(apoB)及空腹血糖(FBG)三项常规检测指标的升高密切相关。Objective To study the correlation study of old people pulse pressure on multiple lacunar infarction. Methods The 116 cases with hypertension from April 2010 to April 2012, were examined the existence of multiple lacunar infarction in accordance with conventional MRI results. And according to the judgment of the results, the patients were divided into the existence of multiple lacunar infarction as the experimental group of 58 patients, and lacunar infarction in 58 patients as a control group. Respectively, of the two groups of patients within 24 h systolic blood pressure （SBP）, diastolic blood pressure （DBP）, pulse pressure values （PP） detection recording, and triglyceride （TG）, apolipoprotein B （apoB） and fasting blood glucose （FBG） three conventional detection indicators for detection were recorded. The record of two groups of patients with various data were compared and analysed. Results The value of pulse pressure （PP） of the patients of the experimental group was significantly higher than that in the control group, the two groups had a significant difference （P〈0.05）; experimental group patients with triglyceride （TG）, apolipoprotein B （apoB） and fasting three routine testing of blood glucose （FBG） were significantly higher than that in the control group （P〈0.05）. Conclusion The old people pulse pressure narrowing was an independent risk factor for patients with multiple lacunar infarction, and patients with triglyceride （TG）, apolipoprotein B （apoB） and fasting blood glucose （FBG） three conventional indexes rise closely related.

关 键 词：脉压 多发性腔隙性脑梗死 高血压 

分 类 号：R743[医药卫生—神经病学与精神病学]