老年高血压患者颈动脉硬化与ABPM指标的关系

Relation between carotid atherosclerosis and ABPM in elder hypertensive patients

目的探讨老年高血压患者颈动脉硬化与动态血压指标的关系。方法对146例高血压伴颈动脉斑块、137例高血压不伴有颈动脉斑块的患者进行24小时动态血压监测,比较两者间动态血压指标。结果颈动脉斑块组24小时白昼以及夜间平均收缩压、舒张压、脉压、24hSPBV及24hDBPV较颈动脉无斑块组明显增高,脉压增高和昼夜节律消失的比例明显增多。结论老年高血压患者颈动脉硬化与平均收缩压、舒张压、脉压、24hSPBV及24hDBPV密切相关。

Objective To investigate the relation between carotid atherosclerosis and ABPM in elder hypertensive patients. Methods ABPM were performed in 146 hypertensive patients with carotid atherosclerosis,137 without carotid atherosclerosis. To analyse the result of ABPM. Results In patients with carotid atherosclerosis the mean systolic pressure,the mean diastolic pressure and pulse pressure, 24 hour systolic pressure variability（24hSBPV）, 24 hour diastolic pressure variability（24hDBPV） were markedly higher, pulse pressure increase and circadian disappeared also higher than in patients without carotid atherosclerosis.Conclusion The carotid atherosclerosis in elder hypertensive patients were correlative with the mean systolic pressure,the mean diastolic pressure and pulse pressure,24 hour systolic pressure variability （24hSBPV）, 24 hour diastolic pressure variability（24hDBPV） closely.