脉压水平及冠心病相关性探究.docVIP

脉压水平及冠心病相关性探究 　 作者：张辉,于明,袁红，王学集，李成 【关键词】 脉压水平 　　【摘要】目的 探讨体检人员脉压水平与冠心病之间的关系。方法 根据计划方案对1071例参检人员按年龄分为两组,并进行询问病史和测量血压。结果高血压患者，年龄≤50岁，患病率为2.95；年龄＞51岁，患病率为12.36％。脉压≤40mmHg，冠心病患病率为0.24%；脉压41~80mmHg，冠心病患病率为3.26％；脉压≥81mmHg，冠心病患病率为9.73％。结论 当收缩压（SBP）相同脉压不同时，随着脉压的增加，冠心病发病率增加（P＜0.05）。当SBP逐渐增高，舒张压（DBP）逐渐下降，冠心病发病率也增加（P＜0.01）。在50岁以上人群中,无论SBP正常还是增高,只要脉压增宽,冠心病的患病率就增加。 　　【关键词】 冠心病；脉压水平 　　Investigation of the correlation between the level of nervation and coronary heart disease 　　【Abstract】 Objective Investigation of the correlation between the level of nervation and coronary heart disease of patient.Methods 1071 person were divided into two group in order to take part in check blood pressure and ask for medical record.Results The blood pressure patient,age≤50years olds,the rate of sicken was 2.95%;age＞51years olds,the rate of sicken was 12.36%.The level of nervation≤40mmHg,the rate of sicken of coronary heart disease was 0.24%.The level of nervation between 40 and 80mmHg,the rate of sicken of coronary heart disease was 3.26%.The level of nervation≥81mmHg,the rate of sicken of coronary heart disease was 9.73%.Conclusion When constriction is same but the level of nervation is different,the rate of sicken of coronary heart disease was increased as level of nervation increased (P＜0.05).When super blood pressure (SBP) was slowly increased and depress blood pressure (DBP) decreased,the rate of sicken of coronary heart disease was increased too (P＜0.01).Over 50 years old, no matter how SBP was normal or increased,if the level of nervation was invcreased,the rate of sicken of coronary heart disease was increased. 　　【Key words】 coronary heart disease;nervation 　　近年来,多项国际研究显示脉压升高比单纯收缩压或舒张压升高更能预测心血管事件的发生。基层门诊部对高血压病人的观察有着较好的临床实践基础，本研究旨在应用血压测量法，对2000~2005年参检人员脉压水平与冠心病做相关性研究，观察血压正常者和高血压患者脉压水平与冠心病之间的关系。现报告如下。 　　1 资料与方法 　　1.1 一般资料 参加体检人数1071例，男753例，女318例。平均年龄（40.93±0.35）岁。按年龄分为两组，≤50岁组785例,＞51岁组286例。 　　1.2方法 体检医生采用台式水银柱血压计，连续测量3次，取其平均值，根据SBP水平分为3组，即SBP≤130mmHg、131~149mmHg、≥150mmHg。在上述每组中，按脉压水平分为3个