臂踝脉搏波传导速度与高血压视网膜病变的关系

摘要

目的:探讨高血压视网膜病变与臂踝脉搏波传导速度(baPWV)的相关性.方法:以2015-06/2016-12我院健康体检中心筛选的高血压视网膜病变患者89例140眼和健康受试者30例60眼为研究对象,分别设置为观察组和对照组.由专业眼科医生对所有研究对象采用直接眼底镜进行眼底检查,检查结果按照Keith-Wagener四级分类法分级.应用BP-203RPEⅢ网络化动脉硬化检测装置对入选对象的baPWV进行检测.比较两组受试者的baPWV水平值和眼底检查结果,并对视网膜病变程度与baPWV检测值的相关性进行分析.结果:高血压程度越重,患者的baPWV检测值越高,各组间差异具有统计学意义(P＜0.05);患者视网膜病变等级越高,其baPWV检测值也越大,各等级间检测值差异具有统计学意义(P＜0.05).结论:血压升高导致的视网膜病变与脉搏波传导速度加快间有密切关系,两者间的检测值相关性良好,臂踝脉搏波传导速度水平值可以用来反映高血压视网膜病变.%AIM:To study of hypertensive retinopathy and brachial ankle pulse wave velocity (baPWV) correlation.METHODS:Totally 89 cases 140 eyes of patients with hypertensive retinopathy in our hospital from June 2015 to December 2016 and 30 healthy subjects (60 eyes) were selected as the research objects,and were divided into the observation group and the control group,respectively.All of the subjects were examined by direct ophthalmoscope,and the results were classified according to Keith-Wagener four classification.Application of OMRON health care (China) Co.,Ltd.production of BP-203RPE network arteriosclerosis detection device for selected objects of baPWV detection.The levels of baPWV and the results of fundus examination were compared between the two groups,and the correlation between the two methods was analyzed.RESULTS:Detection of baPWV in patients was higher as the hypertension severity increased,there was statistically significant differences between groups (P＜ 0.05).The retinopathy grade was higher,the baPWV detection value was larger,the detection value of every grade was different statistically with others (P＜0.05).CONCLUSION:Elevated blood pressure is closely related to retinopathy and accelerated pulse wave velocity,relationship between the two values is notable,brachial ankle pulse wave velocity can be used to reflect the level of hypertensive retinopathy.