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中华心脏与心律电子杂志 ›› 2017, Vol. 05 ›› Issue (04) : 200 -204. doi: 10.3877/cma.j.issn.2095-6568.2017.04.003

所属专题: 文献

论著

青年高血压患者脉搏波传导速度与心血管危险因素的研究
张亚艳1, 王居新1,(), 李婷1   
  1. 1. 102200 北京,北京市昌平区中医医院心血管病科
  • 出版日期:2017-12-25
  • 通信作者: 王居新

Analysis of the relationship between pulse wave velocity and cardiovascular risk factors in young patients with essential hypertension

Yayan Zhang1, Juxin Wang1,(), Ting Li1   

  1. 1. Department of Cardiology, Beijing Changping traditional Chinese medicine Hospital.Beijing 102200, China
  • Published:2017-12-25
  • Corresponding author: Juxin Wang
  • About author:
    Corresponding author: Wang Juxin, Email:
引用本文:

张亚艳, 王居新, 李婷. 青年高血压患者脉搏波传导速度与心血管危险因素的研究[J/OL]. 中华心脏与心律电子杂志, 2017, 05(04): 200-204.

Yayan Zhang, Juxin Wang, Ting Li. Analysis of the relationship between pulse wave velocity and cardiovascular risk factors in young patients with essential hypertension[J/OL]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2017, 05(04): 200-204.

目的

探讨肱-踝脉搏波传导速度(baPWV)在青年原发性高血压患者与血压正常的青年人之间是否存在差异及其与心血管危险因素是否存在相关性。

方法

选取2015年5月至2016年12月昌平区中医医院高血压门诊新诊断的高血压患者120例为高血压组,选择体检中心血压正常青年人120例为非高血压组,分别予以调查问卷及测定肝肾功能、血脂、血糖、尿酸、尿微量白蛋白及baPWV,比较两组baPWV的差异;比较不同血压水平的baPWV之间的差异;采用多元线性回归分析,明确影响青年原发性高血压患者baPWV的相关因素。

结果

(1)高血压组baPWV高于非高血压组,差异存在统计学意义[右baPWV: (1 596.65±122.35) vs (1 350.95±63.37),P<0.05;左baPWV:(1 605.70±147.38) vs (1 340.60±64.03),P<0.05];(2)高血压组,随着血压水平的增高,baPWV也升高(3级高血压baPWV>2级高血压baPWV>1级高血压baPWV);(3)baPWV与收缩压、舒张压、尿微量白蛋白存在相关性(P<0.05),血压是影响baPWV的相关因素。

结论

高血压组baPWV较非高血压组增快,提示青年高血压患者存在早期血管损害;随着血压水平的增高,baPWV也增加;血压是影响baPWV的相关因素,积极控制血压,有利于改善baPWV,改善动脉僵硬度,做到心血管疾病的早期预防。

Objective

To study the difference of brachial - ankle pulse wave conduction velocity (baPWV) between young essential hypertensive and normal blood pressure people, and to explore the correlation of baPWV with cardiovascular risk factors.

Method

Enrolled 120 newly diagnosed hypertension outpatients in Changping Traditonal Chinese Medicine Hospital during May 2015 to December 2016, as hypertension group.and 120 young healthy normal blood pressure people of medical examination center as non-hypertension group .Collected the questionnaire, and test of liver and kidney function, blood lipids, blood glucose, uric acid, urine trace albumin and baPWV respectively.analyzed the baPWV of two groups, and the baPWV by blood pressure grades. Multiple linear regression analysis to explicit the related factors of baPWV in young hypertension patients.

Results

(1) the baPWV in hypertension group was higher than in non-hypertensive group with statistically significant [right baPWV: (1 596.65±122.35) vs (1 350.95±63.37), P<0.05; left baPWV: (1 605.70±147.38) vs (1 340.60±64.03), P<0.05]; (2)in hypertension group, the baPWV increased with the blood pressure grade (Grade- 3 hypertension baPWV>Grade-2 hypertension baPWV>Grade-1 hypertension baPWV); (3) there was a correlation between baPWV and systolic blood pressure, diastolic blood pressure and urinary trace albumin (P<0.05), and multiple linear-regression analysis suggested that blood pressure was a related factor affecting baPWV.

Conclusion

The baPWV in hypertension group was higher than that in the non-hypertension group, suggested that early blood vessel damage was present in young hypertension patients, and the baPWV also increased as the blood pressure level increasing.Blood pressure is associated with the baPWV, the positive control of hypertension, could improve the baPWV, the arterial stiffness, and prevent the cardiovascular disease in advance.

表1 高血压组与非高血压组一般情况及实验室资料比较
表2 高血压组不同血压分级的baPWV比较
表3 高血压组BaPWV与心血管危险因素的相关性分析
表4 多元线性回归分析影响baPWV的因素
图1 血压不同等级对应的PWV均值
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