高血压病患者球结膜微循环与甲襞微循环研究

Study on the Nailfold and Bulbar Conjunctival Microcirculation in Hypertension.

本文报告了154例高血压病与37例健康人的球结膜微循环和甲襞微循环的研究结果,表明高血压组的微循环变化与健康人组比较有显著性差异(P<0.01),并且,球结膜微循环的病理生理改变较甲襞微循环更为显著。其中微血管数目减少、微血管管径变化、网格状结构、微血管粗细不匀、边缘不齐、缺血区、毛细血管渗出、微血管瘤和囊状扩张等9项指标的改变最为明显。证明球结膜微循环检查对防治高血压病及急性脑血管病,具有较为可靠的临床指导意义。

The present article reports a comparative study of nailfold and bulbar conjunctival microcirculation in 154 patients with hypertension and 37 normal subjects as control. The results showed that the total scoring of the nailfold microcirculation was 3.2±2.1 in hypertension and 1.1±0.74 in controls, the total scoring of the bulbar conjunctival microcirculation was 19.1±3.67 in hypertension and 4.89±1.82 in controls. There are statistically significant difference(p<0.01). Moreover, we found that the changs of bulbar conjunctival microcirculation was more apparent than nailfold microcirculation。