老年前期和老年期高血压病患者甲襞微循环的变化和意义

Clinical Study on Nailfold Microcirculation in Early Old and Senile Patients with Essential Hypertation

目的:探讨中老年高血压病患者甲襞微循环变化的特征及临床意义。方法:检测109例老年前期和老年期轻中度高血压病患者的甲襞微循环,并与58例健康中老年人作对照;比较老年前期和老年期高血压病患者甲襞微循环变化。结果:老年前期和老年期高血压病患者存在甲襞微循环障碍,甲襞微循环形态积分、流态积分、管周状态积分和总积分值均增高,与对照组比较有显著性差异。而老年期组甲襞微循环的管周状态、流态及总积分比老年前期组高。结论:中老年高血压病患者存在不同程度的微循环障碍,在治疗过程中辨证运用活血化瘀法以改善微循环有积极意义。

Objective: To study the characters and clinical significance of the changes of nailfold microcirculation in early old and senile patients with essential hypertation. Method: The nailfold microcirculation of 109 patients with essential hypertation was examined, and compared with the normal control. The items of nailfold microcirculation were compared between the early old and senile patients.Results: The form of the capillary loops, blood flow condition, perivasular condition and total score increased in 109 patients with essential hypertation.In comparison with the normal control, the differences were significant. The blood flow condition, perivasular condition and total score in the senile patients group were higher than those in the early old group. Conclusion: It is found that early old and senile patients with essential hypertation have nailfold microcirculation disturbance with different level.“Blood-activating and stasis-removing” Chinese herbal drugs are useful to improve microcirculation disturbance in treatment of essential hypertation.