林振丹, 薛冰, 王蕊. 老年高血压患者血压晨峰与颈动脉硬化的关系[J]. 蚌埠医学院学报, 2011, 36(5): 490-492.
    引用本文: 林振丹, 薛冰, 王蕊. 老年高血压患者血压晨峰与颈动脉硬化的关系[J]. 蚌埠医学院学报, 2011, 36(5): 490-492.
    LIN Zhen-dan, XUE Bing, WANG Rui. Relationship between morning blood pressure surge and carotid atherosclerosis[J]. Journal of Bengbu Medical College, 2011, 36(5): 490-492.
    Citation: LIN Zhen-dan, XUE Bing, WANG Rui. Relationship between morning blood pressure surge and carotid atherosclerosis[J]. Journal of Bengbu Medical College, 2011, 36(5): 490-492.

    老年高血压患者血压晨峰与颈动脉硬化的关系

    Relationship between morning blood pressure surge and carotid atherosclerosis

    • 摘要: 目的:探讨血压晨峰(morning blood pressure surge,MBPS)与颈动脉硬化的关系。方法:对65岁以上患者115例,动态血压监测仪记录24 h血压,彩色多普勒超声检查颈动脉内膜中层厚度(intima-media thickness,IMT)并观察斑块发生情况。结果:MPBS组与非MBPS组相比,双侧颈总动脉(CCA)、颈内动脉(ICA)、颈动脉分叉处(BIF)的TMT均明显增加(P<0.01);斑块总检出率也增高(P<0.05)。结论:老年高血压患者血压晨峰是颈动脉硬化的重要危险因素,积极干预有助于减少心脑血管事件的发生。

       

      Abstract: Objective: To investigate the relationship between morning blood pressure surge(MBPS)in elderly hypertensives and carotid atherosclerosis.Methods: One hundred and fifteen aged patients with hypertension were performed 24 h ambulatory blood pressure monitoring with monitors.Duppler ultrasonography was used to measure the intima-media thickness(IMT) of carotid and development of plaque.Results: Compared with the nonsurge group,the common carotid artery,internal carotid artery,and carotid bifurcation in MBPS group increased markedly(P<0.01);the detection rate of total plaques in MBPS group were also high(P<0.05).Conclusions: Morning blood pressure surge in elderly hypertensives was an important risk factor for carotid atherosclerosis,cardiovascular incidents would be reduced by intervene MBPS.

       

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