老年H型高血压颈动脉内膜中层厚度与动态血压的关系  

The Relationship Between Carotid Artery Intima Media Thickness and Ambulatory Blood Pressure in Elderly Patients With H Type Hypertension

作　　者：陶玲[1] 陈芝蔷[1] 魏玲君 缪金龙 TAO Ling;CHEN Zhiqiang;WEI Lingjun;MIAO Jinlong(Department of Cardiology,The Second People's Hospital of Lanzhou City,Lanzhou Gansu 730046,China)

机构地区：[1]兰州市第二人民医院心内科,甘肃兰州730046

出　　处：《中国继续医学教育》2018年第24期60-61,共2页China Continuing Medical Education

摘　　要：目的探讨老年H型高血压患者颈动脉内膜中层厚度与动态血压关系。方法选取2015年3月—2017年4月在兰州市第二人民医院住院的123例老年高血压患者作为研究对象,将其分为老年H型高血压组(60例)、老年非H型高血压组(63例),进行对比分析。结果老年H型高血压组Hcy、LDL-C颈动脉内膜-中层厚度(IMT)均高于老年非H型高血压组,差异均具有统计学意义(P<0.05)。结论老年H型高血压病患者颈动脉粥样硬化发生率高,与动态血压、夜间收缩压水平、夜间脉压水平升高有密切关系。Objective To investigate the relationship between carotid artery intima media thickness and ambulatory blood pressure in elderly patients with H type hypertension.Methods 123 elderly hypertensive patients hospitalized in Second People's Hospital of Lanzhou from March 2015 to April 2017 were selected,they were divided into elderly H hypertension group(60 cases)and non-H hypertension group(63 cases).Results The Hcy,LDL-C and carotid intima media thickness(IMT)in the elderly H hypertension group were higher than those in the old non-H hypertension group,the difference was statistically significant(P<0.05).Conclusion The incidence of carotid atherosclerosis is high in elderly patients with type H hypertension,which is closely related to ambulatory blood pressure,night systolic blood pressure and elevated pulse pressure at night.

关 键 词：老年 H型 高血压 动态血压监测 颈动脉粥样硬化 超声 

分 类 号：R544[医药卫生—心血管疾病]