摘要
目的探讨急性心肌梗死（AMI）患者二级预防对臂踝脉搏波速度（baPWV）的影响。方法223例AMI患者二级预防规范化治疗6个月，重复测量血压、血脂、心率、血糖和baPWV，对比分析二级预防对AMI患者血压、心率、血脂、血糖和baPWV的影响。结果AMI患者二级预防6个月后与治疗前比较，血压[（收缩压（139．7±10．2）mmHg比（123．6±7．5）mmHg，舒张压（93．7±7．2）JnmHg比（80．6±4．5）mmHg]、心率[（82．7±7．9）次／min比（65．4±5．2）次／min]、总胆固醇[（4．87＋0．59）mmol／L比（3．21±0．76）mmol／L]、低密度脂蛋白胆固醇[（3．35±0．68）mmol／L比（2．63±0．39）mmol／L]和baPWV[（2037．3±216．5）cm／s比（1733．2＋183．2）cm／s]明显降低（P〈O．05）。结论规范的二级预防能够有效降低baPWV，改善动脉顺应性。
Objective To study the changes of pulse wave velocity of secondary prevention in patients with acute myocardial infarction（AMI ）. Methods 223 patients with acute AMI were treated secondary prevention. The levels of serum blood lipid and blood glucose, blood pressure, heart rate and brachial ankle pulse wave velocity were measured respectively at the time in hospital and after 6 months. Results The blood pressure [ SBP （139.7±10.2）mm Hg vs （123.6±7.5）mm Hg, DBP（93.7±7.2）mm Hg vs （80.6±4.5）mm Hg], heart rate[（82.7±7.9） beat/min vs （ 65.4±5.2 ）beat/rain ], the level of blood cholesterol [ （4.87 ±0.59）mmol/L vs （3.21 ±0.76 ）mmol/L ], low- density lipoprotein cholesterol [ （3.35 ±0.68 ）mmol/L vs （2.63 ±0.39）mmol/L ] and baPWV [ （2037.3 ±216.5 ）cm/s vs （1733.2±183.2）cm/s] were decreased significantly （P〈0.05）. Conclusion The secondary prevention in patients with （AMI） can decreased pulse wave velocity and improve elasticity of large artery.
出处
《中国心血管病研究》
CAS
2010年第2期87-89,共3页
Chinese Journal of Cardiovascular Research
基金
基金项目：河南省郑州市科技立项（083SGYS33238-2）
关键词
心肌梗死
脉搏波速度
二级预防
Myocardial infarction
Pulse wave velocity
Secondary prevention in
