摘要
目的：探讨老年高血压患者静息心率（RHR）与颈动脉内一中膜厚度（IMT）的关系。方法：入选老年高血压患者164例，按血压水平分为A组BPl（140／90mmHg≤BP〈160／100mmHg）72例；B组BP2（160／100mmHg≤BP〈180／110mmHg）55例；C组BP3（BP≥180／110mmHg）37例。每组按RHR分为RHR1组（RHR〈60次·min^-1）、RHR2组（60次·min^-1≤RHR〈70次·min^-1）、RHR3组（70次·min“≤RHR〈80次·min^-1）和RHR4组（RHR≥80次·min^-1）。入选患者空腹测血糖、血脂、颈动脉超声检查测颈动脉IMT和颈动脉内径（CAD）。结果；RHR；组的GLU、TC、TG、BSP均高于RHR1～RHRs各组（P〈0．05或P〈0．01）；RHR4、RHR3组与RHR1、RHR2组比较TMT增厚、CAD增大（P〈0．05或P〈0．01）。结论：随着RHR的增加颈动脉IMT和CAD的数值有明显的增加，RHR的增加是老年高血压患者颈动脉IMT增加的原因之一。
Objective To investigate the realationship between resting heart rate （RHR） and carotid arterial intimamedia thickness （IMT） in senile patients with essential hypertension . Methods All 164 elderly essential hypertensive patients were divided into three groups according to the levels of blood pressure （BP） ; the first group, 140/90 mmHg≤SBP〈160 mmHg/100 mmHg; the second group, 160/100 mmHg≤BP〈180/l10 mmHg; the third group, BP≥180/110 mmHg. Each of the groups mentioned above were devided into four groups according to the levels of RHR. RHR1 group ： RHR 〈60 beats/ min; RHR2 group ： 60 beats/min ≤RHR〈70 beats/min RHR3 group ： 70 beats/min ≤RHR 〈80 beats/min ; RHR4 group ： RHR;≥80 beats/min. Blood lipids , blood glucose, carotid uhrasonography were performed. Carotid arterial IMT and carotid arterial diameter （CAD） were measured. Results The blood glucose, blood triglyeride, blood total cholesterol , systolic blood pressure in RHR, groups were higher than those of RHR1- RHR3 groups （P〈0.01 or P〈0.05）. The number of carotid arterial IMT and CAD in RHR4, RHR3 groups were higher than those in RHR1, RHR2 groups （P〈0.01 or P〈 0.05）. Conclusion With the increasing of RHR , the numerical value of carotid arterial IMT and CAD also increase significantly. The increasing of RHR is one of the reasons of the carotid arterial IMT increasing in senile essential hypertensive patients.
出处
《吉林大学学报（医学版）》
CAS
CSCD
北大核心
2007年第1期141-143,共3页
Journal of Jilin University：Medicine Edition
基金
吉林省科技厅基金资助课题(20030551-3)
关键词
老年高血压
静息心率
颈动脉
senile essential hypertension
resting heart rate
carotid artery
