摘要
血管性疾病是导致全身重要脏器病变,包括急性心肌梗死、脑卒中、肾血管病、外周血管病等的主要原因。从根本上降低上述疾病导致的致死和致残后果,血管健康的维护和血管病变早期检测极为重要。血管病变和功能障碍异常的早期检测是维护血管健康的前提。超声评价肱动脉的反应性是目前最可靠的评价内皮功能技术,脉压增加是动脉僵硬度升高的信号;沿动脉树传导的脉搏波速度决定于传输动脉壁的特性,脉搏波速度可反映全身动脉硬化的程度;脉搏波形分析,包括收缩期波形和舒张期波形可用于评价早期动脉功能异常;超声对体表可触及动脉的检测可评价早期动脉粥样硬化和动脉横断面弹性改变;踝臂指数即下肢收缩压与上肢收缩压的比值是评价无症状外周血管病变的重要指标。应该从重视血管病治疗转向维护血管健康,血管病学的发展有助于全面维护血管健康,防治血管疾病,降低血管性疾病导致的人群致死和致残率,提高全民的整体素质。
Vascular disease is major cause of global important organs diseases, such as acute myocardial infarction, stroke, renal disease and peripheral arterial disease. To effectively reduce mortality and morbidity of these diseases,the most important method is vascular health protection and early vasvular disease detection. Brachial artery evaluation by ultrasound is useful for finding endothelial dysfunction; pulse pressure could reflect arterial stiffness;pulse wave velocity could also reflect global arterial stiffness;pulse wave analysis,include systolic and diastolic wave analysis could evaluate early arterial function abnormality ; ultrasound could early detect atherosclerosis and change of arterial cross-sectional elasticity;and ankle-brachial index could also reflect no symptom peripheral vascular disease. We should pay more attention on vascular health protection. Vascular medicine would helpful for fully managing vascular disease and improving population quality.
出处
《心血管病学进展》
CAS
2007年第1期1-2,共2页
Advances in Cardiovascular Diseases
基金
卫生部十年百项计划推广项目(项目编号2004-10-01)
关键词
血管
动脉僵硬度
健康
vascular
arterial stiffness
health
