冠脉介入术对老年高血压患者动态脉压的临床探讨

Clinical Study of Ambulatory Pulse Pressure in Elderly Patients with Hypertension by Coronary Intervention

目的:探讨冠脉介入术对老年高血压患者行动态脉压(APP)监测的临床价值,为临床治疗提供依据。方法:回顾性分析广东省人民医院2015年4月至2016年4月行冠脉介入术治疗的30例老年高血压患者,均合并冠心病,按APP大小分为2组:APP≤60 mmHg组19例,APP>60 mmHg组11例,比较2组临床特征。结果:APP>60 mmHg组的男性、糖尿病史构成比(81.82%、72.73%)及围术期并发症发生率72.73%、病死率36.36%均明显高于APP≤60 mmHg组(42.11%、26.32%和31.58%、5.26%),差异具有统计学意义(P<0.05)。结论:在老年高血压患者行冠脉介入术前监测动态APP可有效指导临床治疗,评估病情预后及风险。

Objective To investigate the clinical characteristics of coronary intervention in elderly hypertensive patients with ambulatory pulse pressure(APP). Methods Retrospective analysis of Guangdong Provincial People's Hospital from April 2015 to April 2016 line of coronary intervention in 30 cases of elderly patients with hypertension, were combined with coronary heart disease, according to the size of APP divided into two groups: APP ≤ 60 mm Hg group 19 cases, APP> 60 mm Hg group(n = 11). The clinical characteristics of the two groups were compared. Result APP > 60 mm Hg group of male gender, diabetes history constitute ratio(81.82 %, 72.73 %) and peri operative complications occurrence rate, mortality rate(72.73 %, 36.36 %) was significantly higher than that of APP is less than or equal to 60 mm Hg group(42.11 %, 26.32 % and 31.58 %, 5.26 %), the differences were statistically significant(P < 0.05). Conclusion In the elderly patients with hypertension before coronary intervention, monitoring the dynamic APP can effectively guide clinical treatment, assess the prognosis and risk of the disease.