视网膜血管改变与高血压的相关性

Association between retinal vascular changes and hypertension

高血压靶器官损伤严重时可危及生命,对高血压进行早期诊断、病情评估以及治疗干预具有重要意义.视网膜血管改变,可以为高血压的发病和进展的相关研究提供良好的观察指标.在检测手段上,眼底照片作为测量视网膜血管的主要载体,自动化程度越来越高.此外,扫描激光多普勒血流仪、自适应光学等检查方法也越来越受重视.视网膜血管改变与高血压的相关性已被大量研究证实,且视网膜血管改变在一定程度上可预测高血压的发病,并反映高血压的治疗情况.

As severe hypertension target organ damages may threaten the life,the early diagnosis,the evaluation of severity,treatment and prognosis of hypertension is of great importance.Retinal vessels are the only microcirculation that can be observed by noninvasive methods and provide a good research model for the onset and progression of hypertension.The retinal photograph is the main carrier of the information of the retinal vessels,and the automation degree of the measurement is getting higher.Moreover,some other test methods attract more and more attention,including scanning laser Doppler flowmetry,adaptive optics scanning laser and so on.The association between the retinal vascular changes and hypertension has been approved by a large number of the studies.Furthermore,the retinal vascular changes can predict the hypertension incidence and reflect the treatment of hypertension to a certain extent.