脉压与急性冠脉综合征发病率关系的探讨

Relationship between the pulse pressure and the morbidity of acute coronary syndrome

目的探讨中老年体检人群中脉压(PP)水平与冠心病危险因素和急性冠脉综合征(ACS)发病率的相关性。方法将174例体检人员分为PP<65mmHg组(120例)和PP≥65mmHg组(54例)。分析两组中年龄、性别、高血压、高脂血症、糖尿病、吸烟等冠心病危险因素及ACS发病率的相关性。结果①PP≥65mmHg组的危险因素明显多于PP<65mmHg组(P<0.05),其中≥2个危险因素者在PP≥65mmHg组中高达90.7%(P<0.05)。②PP≥65mmHg组ACS的发病率与PP<65mmHg组比较差异有统计学意义。结论发生ACS时,PP大的ACS患者危险因素多于PP小者;PP与ACS发病率相关。

Objective To explore the relationship between the pulse pressure （PP） level and high risk factors of coronary heart disease and the morbidit of acute coronary syndrome（ACS）. Methods 174 cases of health examination middle and old age crows were divided into two groups：120 cases with PP〈65 mm Hg and 54 cases with PP ≥ 65 mm Hg. Risk factors of coronary heart disease were analyzed such as age,gender,hypertension, hyperlipemia,diabetes mellitus and smoking and stricture of coronary artery between two groups. Results （1）In group with PP≥65 mm Hg,the risk factors of coronary heart disease was more than that in group with PP〈65 mm Hg （P〈0.05） and the risk factors were no less than two in 90.7% of cases （P〈0.05）. （2）The morbidit of ACS was statistics diference between two groups. Conclusion The risk factors in the cases with high PP levels are more than those in the cases with low PP level. The morbidit of ACS was statistics diference between two groups.