主动脉夹层后血压管理的研究进展  

Research Progress in Blood Pressure Management after Aortic Dissection

作　　者：李志勇[1] 王晶[2] 周雅丽[3] 袁东[1] LI Zhiyong;WANG Jing;ZHOU Yali;YUAN Dong(Vascular Surgery,Lanzhou University Second Hospital,Lanzhou 730030,China;Healthy Examination&Management Center,Lanzhou University Second Hospital,Lanzhou 730030,China;Cuiying Biomedical Research Center,Lanzhou University Second Hospital,Lanzhou 730030,China)

机构地区：[1]兰州大学第二医院血管外科,兰州730030 [2]兰州大学第二医院健康管理中心,兰州730030 [3]兰州大学第二医院萃英生物医学研究中心,兰州730030

出　　处：《协和医学杂志》2024年第4期904-910,共7页Medical Journal of Peking Union Medical College Hospital

基　　金：甘肃省自然科学基金(21JR11RA121);甘肃省高校创新基金(2021B-046)。

摘　　要：高血压(hypertension,HT)通过增加主动脉管壁张力和促使组织结构退化而诱发主动脉夹层(aortic dissection,AD),持续的HT会增加主动脉相关死亡风险,是AD预后不良的显著影响因素,也是最重要的可控因素。研究表明,AD后血压管理可降低AD死亡率,是AD治疗的重要目标和手段。本文就AD对血压的影响、AD后血压管理的意义及方式研究进展进行综述,以期为AD患者的治疗提供参考。Hypertension(HT)can induce aortic dissection(AD)by increasing the tension of the aortic wall and promoting tissue degradation,and continuous HT may increase the risk of aortic-related death.It is a significant factor in poor prognosis for AD and the most important controllable factor.Research has shown that blood pressure management after AD can reduce the incidence rate and mortality of AD,so controlling HT is an important goal and means of AD treatment.This article reviews the research progress on the impact of AD on blood pressure,the significance and methods of blood pressure management after AD,with the hope of provi-ding reference for the treatment of AD patients and benefiting them.

关 键 词：高血压 主动脉夹层 血压管理 

分 类 号：R543.1[医药卫生—心血管疾病] R544.1[医药卫生—内科学]