老年两极分化性高血压患者冠状动脉造影结果分析  

Analysis of coronary angiography results of polarization of hypertension in elderly patients

作　　者：杨文灿[1] 李洪卫[1] 

机构地区：[1]山东省新泰市新汶矿业集团中心医院心内二科,271233

出　　处：《中国实用医刊》2016年第11期61-63,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨老年两极分化性高血压患者发生冠心病的风险。方法选择226例接受冠状动脉造影检查的老年高血压患者，按照血压水平分为两极分化性高血压组125例和非两极分化性高血压组101例，收集两组患者的临床资料和冠状动脉造影结果。结果两极分化性高血压组患者舒张压较低且脉压增大，差异均有统计学意义（P〈0．01），收缩压与非两极分化性高血压组比较未见统计学意义（P〉0．05）；两极分化性高血压组患者冠状动脉病变血管分布更广泛（P〈0．01）。多变量Logistic回归分析显示两极分化性高血压是冠心病的独立危险因素（OR=2．65，95％CI1．50～5．15，P〈0．01）。结论重视老年两极分化性高血压患者冠心病风险并给予适当的干预治疗，可能有利于降低心脑血管的发生率。Objective To investigate the correlation of polarization of hypertension with coronary heart disease in elderly patients. Methods A total of 226 elderly patients with hypertension and underg-one coronary angiography were selected and divided into polarization of hypertension group （ n = 125 ） and non polarization of hypertension group （ n = 101 ） according to their systolic and diastolic blood pressure levels, and the patients＇ clinical data and coronary angiography data were collected. Results There were significant lower difference for levels of diastolic blood pressure and higher pulse pressure in polarzation of hypertension group（ P 〈 0. 01 ） , and no significant difference in systolic blood pressure between the two group （ P 〉 0. 05 ）. The distribution of diseased coronary vessel numbers was more extensive in the polarization of hypertension group （ P 〈 0. 01 ）. Multivariate logistic regression analysis implied polarization of hypertension group was the independent risk for coronary heart disease （ OR = 2.65,95% CI 1.50-5.15,P 〈0. 01 ）. Conclusions The polarization of hypertension in the elderly population with high risk of coronary heart disease should be paid attention to, and give appropriate intervention treatment, which may be good for reducing the incidence of cardiovascular disease.

关 键 词：冠状动脉造影 两极分化性高血压 结果分析 

分 类 号：R544.1[医药卫生—心血管疾病] R541.4[医药卫生—内科学]