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中青年高血压病患者脉搏波传导速度测量时机分析
作者:常玉霞  
单位:马鞍山市人民医院心内科
关键词:高血压病 大动脉弹性 24小时动态血压 测量时间 
分类号:
出版年·卷·期(页码):2013·41·第八期(572-574)
摘要:

【摘要】 目的 探讨中青年高血压病患者的大动脉弹性的正确测量时间。方法 应用欧姆龙动脉动脉硬化检测仪VP-1000为检测设备,测定脉搏波传导速度(pulse wave velocity,PWV)。选取一组单纯高血压病患者,在他们24小时动态血压的平均血压及血压负荷值均高于正常值时测量他们的大动脉弹性(此为PWV首测值),当这组患者在通过治疗、改善生活方式后且24小时动态血压报告显示已达目标值(即24小时动态血压:平均值收缩压≤130mmHg;平均舒张压≤80mmHg;血压负荷值≤10%),后复测大动脉弹性(此为PWV复测1值);再过1个月后且24小时动态血压报告示在目标值内复测大动脉弹性(此为PWV复测2值)。结果 首测值与复测1值比较,右/左均p=0.00;首测值与复测2值比较,右/左均p=0.00;而复测1值与复测2值比较,右p=0.001,左p=0.002。结论 中青年高血压病患者PWV的测量时间应在血压控制在目标值内进行。

【 abstract 】 Objective Discusses the artery of middle age and youth hypertension patient of elastic correctly measure time. Methods Application omron artery atherosclerosis detector VP-1000 for testing equipment, determination of pulse wave transmission speed (pulse wave velocity, PWV). When this group of patients in the treatment, to improve the way of life and 24hour ambulatory blood pressure has reached the target value report, in their 24-hour ambulatory blood pressure average blood pressure and blood pressure load value when they were higher than normal measuring the artery of elastic (the first measured values for PWV), when this group of patients in through the treatment, health care measures and 24-hour ambulatory blood pressure report showed that has reached the target (i.e. 24-hour ambulatory blood pressure: average less than 130 mmHg; the average systolic blood pressure less than 80 mmHg diastolic blood pressure, blood pressure load value than 10%) reeated measure artery after elastic (this is PWV reeated measure 1 value); Again lead after a month and 24-hour ambulatory blood pressure and report within target values reeated measure artery elasticity (this is PWV reeated measure 2) values. Results The first measured values and reiteration 1 value more, right/left were p = 0.00; The first measured values and reeated measure 2 value more, right/left were p = 0.00; And reiteration 1 value and reiteration 2 value more, right p = 0.001, p = 0.002 left. Conclusions young and middle-aged high blood pressure patients should be in the measurement of time PWV blood pressure control within target values.

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