脉搏波传导速度、动态脉压与冠心病冠状动脉病变严重程度的相关性分析

Analysis on the relation between the pulse wave velocity,ambulatory pulse pressure and severity of coronary artery lesions of patients with coronary heart disease

目的分析研究脉搏波传导速度、动态脉压检测在了解冠心病冠状动脉病变严重程度中的价值。方法选取2010年6月～2012年5月于本院进行治疗的86例冠心病患者为观察组,同期体检的86名健康人员为对照组,将两组的baPWV、baPWV%及24h、白天和夜间动态MBP、PP水平进行检测及比较。结果观察组的baPWV、baPWV%及24h、白天和夜间动态MBP、PP水平均高于对照组,另外观察组中多支病变者高于单支及双支病变患者,重度狭窄者高于轻度及中度狭窄患者,P均<0.05,差异均有统计学意义。结论脉搏波传导速度和动态脉压可有效反应冠心病冠状动脉病变严重程度,可用于了解冠脉病变的严重程度。

Objective To analysis and study the value of pulse wave velocity and ambulatory pulse pressure detection in understanding the severity of coronary artery lesions of patients with coronary heart disease. Methods 86 patients with coronary heart disease in our hospital from June 2010 to May 2012 were selected as observation group,and 86 bealthy personal at the same time were selected as control group,then the baPWV,baPWV% and MBP,PP of 24h,day and night of two groups were detected and compared. Results The baPWV, baPWV% and MBP, PP of 24h, day and night of observation group were all higher than those of control group, the those items of observation group＇s multi vessel diseasewere higher than those of single vessel disease and double vessel disease, these of severe stenosis were higher than those of moderate stenosis and mild stenosis, all P 〈 0. 05, there were all significant differences. Conclusion The pulse wave velocity,ambulatory pulse pressure can effectively reflect the the se- verity of coronary artery lesions of patients with coronary heart disease, and it can be used for understanding the severity of coronary artery lesions.