目的 探讨亚高原城镇人群高血压与外周动脉硬化的相关性.方法 随机从2009年10月～2010年4月昆明城镇企事业单位到我院体检的18岁以上人群中,抽取检出血压异常且符合高血压诊断标准的受检者1000名作为高血压组,同时随机抽取673名体检提示血压正常者作为对照组,采用日本科林公司生产的VP-1000全自动测量仪对两组患者作肱踝脉搏波传导速度(baPWV)及踝臂指数(ABI)测量.结果 高血压组baPWV值明显高于对照组(P<0.01),ABI≤0.9检出率明显高于对照组(P<0.01).结论 亚高原地区城镇人群高血压与动脉硬化密切相关,选择对动脉僵硬度有影响的降压药物,有效控制血压,同时指导患者进行间断性适量的有氧运动,对预防及延缓高血压靶器官损害及心血管事件的发生,延长患者寿命具有重要意义.%Objective To investigate the correlation between hypertension and peripheral arteriosclerosis in people from sub -plateau towns. Methods Among subjects( above 18 years old )from enterprise or government units in Kunming City receiving physical examination in our hospital from October 2009 to April 2010,1000 ones who met the diagnostic criteria of hypertension were randomly selected and served as hypertension group. Another 673 ones with normal blood pressure were randomly selected as control group. The brachial ankle pulse wave velocity( baPWV )and ankle brachial index( ABI )of all subjects were detected by the Japanese Colin VP -1000 automatic measuring instrument. Results Both baPWV and the detection rate of ABI ^ 0. 9 in the hypertension group were significantly higher than those in the control group( P < 0. 01 ). Conclusion There is a close correlation between hypertension and arteriosclerosis in people from the sub - plateau towns. Antihypertensive drugs that can affect the arterial stiffness should be chosen to control peoples blood pressure. Moreover, they should be guided to take intermittent and proper aerobic exercises, which is useful for prevention and postponement of the occurrence of hypertension target organ damage and cardiovascular events.
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