女性更年期高血压脉压变化对颈动脉斑块形成的影响_张颖.pdfVIP

第 27卷 第 12期 Vol. 27 No. 12 2 0 09年 12月 CH INESE ARCH IVES OF TRAD IT OI NAL CH INESE M ED CI INE Dec. 2 0 0 9 1 2 2 张 颖 ,林 雪 ,何 佳 ( 1. , 830011; 2. , 830000) :目的:研究女性更年期高血压患者脉压变化与颈动脉粥样 化斑块形成的关系方法:选择 123级 女性更年期高血压患者各 30例为研究对象,并以 30例健康体检者作为对照, 对所有入选者行动态血压监测,做颈 动脉血管超声测量颈总动脉内膜- 中层厚度颈总动脉内径,局限性内膜- 中层厚度增厚\ 1. 3mm 定义为斑块结 果: 123级女性更年期高血压组与对照组颈动脉 IMT及 ID比较有统计学意义(P 0. 05), 且随着脉压增高,颈动 脉粥样 化斑块程度加重结论: 脉压增大及血压昼夜节律异常是颈动脉粥样 化斑块形成的危险因素 : 女性更年期高血压;脉压; 颈动脉斑块 : R588 : B : 1673- 7717(2009) 12- 2603- 03 The Influence Between Plaque of Carotid Arteries and Cricadian Rhythm of B lood Pressure in PatientsW ith Female C limacteric Hypertension 1 2 2 Z ANG Y ing , L IN Xue , E Jia ( 1. X injiangM edicalUniversity, Urumqi830011, X injiang, China; 2. TheAffiliated TraditionalChineseM edical ospital ofX injiangM edicalUniversity, Uurmqi830000, X injiang, China) Abstrac:t O bj ectiv e: Investigate the relationship between plaque of carotid arteries and circadian rhythm of blood pressure in patientsw ith female clmi acteric hypertension( FC ).M ethods: 60 untreated FC subjects(30were in stagel, 30 were in stage2, 30 were in stage 3) and 30 control subjectswere selected. 24- hour ambulatory blood pressuremonito- ringwas used to exam ine areaunder the curve of ambulatory blood pressure. Intmi ae media thickness( IMT) of common carotid arteries diameter and plaquewere evaluated by ultrasonography Intmi aemedia thickness\ 1. 3mm was defined as plaque. R esults: The difference of stage 1, 2menopausalhypertension group and controlgroup of carotid artery IMT and ID has statistical significance (P 0. 05). Conclusi