高血压病患者血压水平与脑血管并发症发生率的关系

Relationship between different level of blood pressure and incidence of cerebral complication in patients with essential hypertension

目的:探讨不同血压水平与高血压病脑血管并发症发生率的关系。方法:回顾性调查近5年住我院未治疗高血压病患者696例(男387例,女309例),按不同收缩压、舒张压和脉压水平进行分组,分析不同收缩压、舒张压及脉压水平与脑血管并发症发生率的关系。结果:脑血管并发症的发生率与收缩压、舒张压和脉压有关(P<0.05),其影响顺序依次为:脉压>收缩压>舒张压。结论:高血压病患者脑血管并发症发生率与收缩压、舒张压和脉压有关,但脉压起着更重要的作用。

AIM： To investigate the relationship between different level of blood pressure and the incidence of cerebral complication in patients with essential hypertensive. METHODS： 696 cases of untreated primary hypertensive patients （387 male and 309 female） were divided into different groups according to the level of systolic blood pressure （SBP）, diastolic blood pressure （DBP） and pulse pressure （PP）. The relationship between different level of SBP, DBP and PP was analyzed. RESULTS： The incidence of cerebral complication were positively correlated to SBP, DBP and PP （all P〈0.05）. The impact ranking was PP〉SBP〉DBP. CONCLUSION： The cerebral complication in essential hypertension is correlated to SBP, DBP and PP. However, PP plays the most important role among the different parameters of blood pressure in the pathogenesis of the cerebral complication.