论文部分内容阅读
目的:探讨西宁地区各级高血压患者的颈动脉粥样硬化程度,了解老年高血压患者动脉粥样硬化的状况。方法:检测分析西宁地区173例老年高血压患者颈动脉(CADIA)内径、内膜中层厚度(IMT)、斑块发生率并与47例健康老人对照。结果:高血压组较对照组颈动脉内径及内膜中层厚度逐渐增加,P<0.01;高血压病各级之间颈动脉IMT比较差别有显著性,P<0.05,随着高血压分级增加颈动脉IMT逐渐增厚;高血压组的斑块发生率明显高于正常时照组。结论:动脉IMT增厚是动脉粥样硬化的早期特征,血压增高是引起高血压病颈动脉变化的一个重要因素,颈动脉超声检测对于老年高血压病的诊断分级和防治及其并发症具有重要意义,应作为西宁地区老年高血压患者的常规检测项目。
Objective: To investigate the degree of carotid atherosclerosis in hypertension patients at all levels in Xining and to understand the status of atherosclerosis in elderly hypertensive patients. Methods: The carotid artery (CADIA) diameter, intima - media thickness (IMT), plaque incidence in 173 elderly patients with hypertension in Xining were detected and compared with 47 healthy controls. Results: The carotid artery diameter and intima-media thickness increased gradually in hypertensive group compared with the control group (P <0.01). There was significant difference in carotid IMT between all levels of hypertension, P <0.05. With the increase of hypertension Arterial IMT gradually thickening; hypertension plaque incidence was significantly higher than the normal group. Conclusions: Arterial IMT thickening is an early characteristic of atherosclerosis. High blood pressure is an important factor that causes the change of carotid arteries in hypertensive patients. Carotid ultrasonography is important for the diagnosis, grading, prevention and treatment of elderly hypertensive diseases and its complications Significance, should be used as a routine test of elderly hypertensive patients in Xining area.