摘要
目的:探讨左心室肥厚(LVH)及脉压(PP)与老年原发性高血压(EH)患者并发脑梗死之间的关系及其临床检测意义。方法:使用超声方法检测52例老年并发脑梗死的EH患者及45例老年非并发症脑梗死的EH患者左心室质量指数(LVMI),结合患者血压及PP情况进行比较和综合分析。结果:并发脑梗死组的LVMI及PP显著高于非脑梗死组,其差异有统计学意义(P<0.01)。并且LVMI随PP增加而增加,LVMI与PP呈显著正相关,脑梗死组和非脑梗死组LVMI与PP相关系数分别为0.632和0.645(P<0.01),所有患者LVMI与PP之间相关系数为0.360(P<0.01)。结论:脑梗死患者LVMI及PP显著增加,且LVMI与PP呈显著正相关。同时监测LVMI和PP有助于了解老年EH患者疾病的不同状态,便于判断病程及预后。
Objective：To investigate the relationship between Left ventricular hypertrophy （LVH） and pulse pressure（PP） and cerebral infarction in elderly essential hypertension （EH） patients and the clinical significance of LVH and PP. Method：Left ventricular mass indexes （LVMI） measured by vascular ultrasound in 52 elderly EH patients with cerebral infarction and 45 elderly EH patients without cerebral infarction were compared and analyzed in combine with blood pressure and PP. Result：There were significant differences in LVMI and PP between the elderly EH patients with cerebral infarction and elderly EH without cerebral infarction （P〈0. 01）. LVMI increased when PP increased, there was positive relation between LVMI and PP in cerebral infarction patients and no cerebral infarction patients （r = 0. 632,0. 645）, and there was positive relation between LVMI and PP in total elderly EH patients（r= 0. 360）. Conclusion： LVMI and PP increase significantly in elderly hypertension patients with cerebral infarction, there is positive relation between LVMI and PP. The detection of LVMI and PP in elderly EH patients may be helpful for understanding the course and prognosis of arteriosclerosis in elderly EH patients.
出处
《临床心血管病杂志》
CAS
CSCD
北大核心
2007年第2期113-115,共3页
Journal of Clinical Cardiology
关键词
高血压
左心室肥厚
脉压
脑梗死
Hypertension
Left ventricular hypertrophy
Pulse pressure
Cerebral infarction
