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老年脑梗死合并高血压患者的临床特征分析
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作者 张斌 张明玉 +2 位作者 郭韬 李小珠 何莹莹 《中文科技期刊数据库(全文版)医药卫生》 2022年第11期54-57,共4页
高血压和脑梗在临床上是非常密切的关系,血压高往往会造成病人的动脉硬化、动脉粥样硬化,长时间超载会造成脑部和心脏的供血不足,进而诱发脑梗。本研究旨在研究老年人中脑梗死合并高血压患者的主要临床特征及其血糖、血脂、肝肾功能、2... 高血压和脑梗在临床上是非常密切的关系,血压高往往会造成病人的动脉硬化、动脉粥样硬化,长时间超载会造成脑部和心脏的供血不足,进而诱发脑梗。本研究旨在研究老年人中脑梗死合并高血压患者的主要临床特征及其血糖、血脂、肝肾功能、24小时动态血压监测结果,为指导临床制定有效的防治方案提供科学依据。方法 将我院2018-2022年收治的102例老年性患者分为高血压组(33例)和脑梗死合并高血压组(69例),对两组患者的血糖血脂、肝功能、肾功能以及24小时的血压变化情况等结果进行比较分析。结果 与单纯高血压组患者相比较,脑梗死合并高血压组患者24 小时的收缩压、夜间收缩压、白天收缩压和24 小时动态脉压水平均明显升高,但舒张压、血脂水平、肝功能等指标无显著性差异。结论 高血压可能是老年脑梗死发生的主要危险因素,收缩压可作为判断的有效指标。 展开更多
关键词 老年 高血压: 临床特征
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Correlation between angiotensinogen gene and primary hypertension with cerebral infarction in the Li nationality of China 被引量:2
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作者 王埮 陈志斌 +1 位作者 金水晶 苏庆杰 《Neuroscience Bulletin》 SCIE CAS CSCD 2007年第5期287-292,共6页
Objective To investigate the relationship of four single nucleotide polymorphism (SNP) haplotypes in the angiotensinogen (AGT) gene to the primary hypertension with or without cerebral infarction in the Li nationa... Objective To investigate the relationship of four single nucleotide polymorphism (SNP) haplotypes in the angiotensinogen (AGT) gene to the primary hypertension with or without cerebral infarction in the Li nationality of Hainan, China. Methods Total 300 subjects were allocated into three different groups: Groupl, 100 patients who have primary hypertension; Group 2, 100 patients who have primary hypertension with cerebral infarction; and control group, 100 healthy individuals. The genotypes of all subjects were determined by PCR-sequencing to analyze the four poly- morphisms at position - 152 (G-A), -20 (A-C), - 18 (C-T), and -6 (A-G) in the promoter region of AGT. Results The frequen- cies ofCT genotype of AGT-18 and T allele in Group 1 (P = 0.003, P = 0.004) and Group 2 (P = 0.002, P = 0.002) were both significantly higher than in healthy controls. The frequency of G allele of AGT-6 was significantly higher in Group 2 than in the control group (P = 0.016), while there is no significant difference between Group 1 and the control. Haplotype analysis revealed that H6 haplotype frequency which included -20C and -6G was significantly increased in Group 2 (P = 0.003) compared with the control group, while H5 haplotype frequency which included -20C and -18T was signifi- cantly increased in Group 1 (P = 0.006) versus the control. Conclusion The -20 (A-C) and - 18 (C-T) of the AGT may play an important role in pathogenesis of primary hypertension; and -20 (A-C), -18 (C-T), and -6 (A-G) may be the genetic risk factors for the onset of primary hypertension with cerebral infarction in the Li nationality of Halnan, China. 展开更多
关键词 angiotensinogen gene primary hypertension cerebral infarction single nucleotide polymorphism HAPLOTYPE
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