血压昼夜节律对颈动脉粥样硬化的影响

Circadian Rhythm of Blood Pressure Influence on Carotid Atherosclerosis

目的探讨高血压病昼夜节律对颈动脉粥样硬化的影响。方法住院高血压患者146例,行无创血压检测,根据血压节律变化分为杓型和非杓型两组,所有患者均行颈动脉超声检查,测量颈动脉内中膜厚度及粥样斑块形成,进行统计学分析。结果非杓形组的颈动脉内中膜增厚及粥样斑块形成明显高于杓形组。结论非杓型血压促进动脉粥样硬化形成,增加心脑血管事件的风险。

Objective To investigate the circadian rhythm of hypertension on carotid atherosclerosis effects. Methods 146 cases of hospitalized patients with hypertension, non-invasive blood pressure monitoring line, according to dipper blood pressure rhythm is divided into two groups and non-dippers, all patients underwent carotid ultrasound to measure carotid intima-media thickness and plaque form, for statistical analysis. Results The non-dipper-shaped group of carotid artery intima thickening and plaque formation was significantly higher than the spoon-shaped group. Conclusion Non-dipper blood pressure promote the formation of atherosclerosis, increased risk of cardiovascular events.