高血压病患者脉压和颈动脉粥样硬化关系及对预后的影响

摘要

Objective To analyze the correlations of pulse pressure (PP) and carotid atherosclerosis, prognosis in patients with hypertension. Methods 128 patients with hypertension were selected as the research objects, and divided into group A (PP<60 mm Hg, n=65) and group B (PP ≥60 mm Hg, n = 63). The inspection results of the two groups were compared. Results There was no statistical difference in TC, HDL, TG, Cr and UA between the two groups (P>0.05), but there was statistical difference in SBP, Glu and LDL between the two groups (P <0.05). IMT, plaque crouse score and detection rate of group B were higher than those of group A (P <0.05). The incidence of complications of group B was significantly higher than that of group A (P <0.05). Conclusions The PP value of patients with hypertension can reflect the degree of atherosclerosis. Patient with greater PP value has higher probability of onset of cardiovascular disease. This provides a reliable basis for predicting and improving the prognosis.%目的：通过对不同脉压(孕孕)值的高血压患者临床资料的探究，分析孕孕与其颈动脉粥样硬化、预后等的相关性。方法将我院接诊的128例高血压患者作为探讨主体，以孕孕是否低于60皂皂匀早为分类标准，其中低于60皂皂匀早的65例设为A组，等于或大于60皂皂匀早的63例设为月组，对比两组检查结果。结果两组栽悦、匀阅蕴、栽G、悦则、哉A方面无显著差异(孕>0.05)，而其杂月孕、G造怎、蕴阅蕴组间差异具显著性(孕<0.05)；月组陨M栽、斑块悦则燥怎泽藻积分与检出率均明显较A组高(孕<0.05)；月组并发症总发生率明显较高(孕<0.05)。结论高血压患者孕孕值可折射出其动脉粥样硬化程度，孕孕值高者发作心脑血管病的机率更大，这为预测与改善预后提供了可靠依据。