老年患者高同型半胱氨酸高血压与不稳定型心绞痛的关系研究.pdfVIP

临 床 医 学 老年患者高同型半胱氨酸高血压与不稳定型心绞痛的关系研究 北京市西城区广外社区卫生服务中心（100055）安全宇 摘要： 目的 探讨老年患者高同型半胱氨 Homocysteine Hypertension with significantly differences between unstable 酸（Hcy）高血压（H型高血压）与不稳 Unstable Sngina Pectoris in Elderly angina cases and stable angina cases in Hcy 定型心绞痛（UA）的相关性。方法 选 Patients and total cholesterol levels.H hypertension was 择2011年10月～2013年4月我院心内科 Beijing Xicheng District This General an independent risk factor for unstable angina 收治的原发性高血压合并心绞痛的老年 Hospital,Bejing(100055) in the elderly.Conclusion H hypertension was 患者210例，根据Hcy水平将其分为H型 China,An Quanyu. closely related to unstable angina in elderly 高血压组（n＝103例）和单纯高血压组 Abstract:Objective To investigate the patients.It was necessary to control blood （n＝107例），所有患者均进行冠状动 correlation between high homocysteine (Hcy) pressure as well as serum Hcy levels in the 脉造影检查，Hcy水平通过酶法测定， hypertension with unstable angina pectoris in treatment of unstable angina. 比较两组患者血清Hcy水平的差异。结 elderly patients.Methods 210 cases of elderly Key words:Homocysteine;Hypertension; 果 H型高血压组不稳定型心绞痛的发生 patients with primary hypertension complicated Unstable angina 率为46.6%，高敏C反应蛋白（hsCRP）水 angina pectoris were included in the study 伴有高Hcy血症（Hcy水平≥10μmol/ 平为（4.4±1.9）μg/L，冠状动脉病 during October 2011-April 2013.All the cases L）的原发性高血压也叫H型高血压，研究 变积分为（45.3±20.1），显著高于单 were divided into H hypertension group (103 表明Hcy是导致冠心病的独立危险因素[1] 。 纯高血压组患者UA发生率25.2%，hsCRP cases) and simple hypertension group (107 UA是介于劳累性稳定型心绞痛与急性心肌 水平（2.1±1.8）和冠状动脉病变积分 cases) according to Hcy level.All pat