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目的:探讨冠脉介入术对老年高血压患者行动态脉压(APP)监测的临床价值,为临床治疗提供依据。方法:回顾性分析广东省人民医院2015年4月至2016年4月行冠脉介入术治疗的30例老年高血压患者,均合并冠心病,按APP大小分为2组:APP≤60 mmHg组19例,APP>60 mmHg组11例,比较2组临床特征。结果:APP>60 mmHg组的男性、糖尿病史构成比(81.82%、72.73%)及围术期并发症发生率72.73%、病死率36.36%均明显高于APP≤60 mmHg组(42.11%、26.32%和31.58%、5.26%),差异具有统计学意义(P<0.05)。结论:在老年高血压患者行冠脉介入术前监测动态APP可有效指导临床治疗,评估病情预后及风险。
Objective: To investigate the clinical value of coronary artery intervention in the monitoring of mobile pulse pressure (APP) in elderly hypertensive patients and provide the basis for clinical treatment. Methods: Thirty elderly hypertensive patients undergoing coronary intervention from April 2015 to April 2016 in Guangdong Provincial People’s Hospital were retrospectively analyzed. All patients with coronary heart disease were divided into two groups according to APP size: APP≤60 mmHg 19 cases, APP> 60 mmHg group of 11 cases, the clinical features of two groups were compared. Results: The percentage of diabetes history (81.82%, 72.73%) and perioperative complications was 72.73% and mortality was 36.36% in APP> 60 mmHg group (42.11%, 26.32% % And 31.58%, 5.26%), the difference was statistically significant (P <0.05). Conclusion: Monitoring dynamic APP before coronary intervention in elderly hypertensive patients can effectively guide the clinical treatment and evaluate the prognosis and risk.