| 唐红梅 叶丽莎 白雪.不同中医证型中年高血压患者baPWV与cIMT相关性的研究[J].实用中西医结合临床,2011,(5):3-4,12 |
| 不同中医证型中年高血压患者baPWV与cIMT相关性的研究 |
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| DOI： |
| 中文关键词: 中医证型 中年高血压 臂踝脉搏波速度 颈动脉内中膜厚度 |
| 英文关键词: Syndromes Middle-aged hypertension baPWV Cimt |
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| 中文摘要: |
| 目的：通过对中年高血压患者臂踝脉搏波速度（baPWV）与颈动脉内中膜厚度（cIMT）的检测，以探讨不同中医证型与二者之间的相关性。方法：采用B型超声测定纳入病例cIMT，动脉硬化测定仪测定baPWV。共检测70例，其中原发性高血压患者40例，健康对照组30例。结果：高血压组baPWV、cIMT均明显高于对照组，差异有统计学意义(P <0.05)；在高血压痰湿壅盛型、肝火亢盛型、阴虚阳亢型中， baPWV、cIMT均有增高趋势，其中阴虚阳亢型baPWV 和cIMT均高于痰湿壅盛型，差异有统计学意义(P <0.05) 。结论：中年高血压患者baPWV与cIMT均有所升高，以阴虚阳亢型升高较为明显，二者呈正相关，表明动脉僵硬度可能在一定程度上能反映动脉粥样硬化，且在一定程度上指导中医辨证分型。 |
| 英文摘要: |
| Objective:Middle-aged hypertensive patients by brachial-ankle pulse wave velocity (baPWV) and carotid artery intima thickness (cIMT) detection,to explore the different syndromes and the correlation between the two.Methods:Measured using B-mode ultrasound into the case cIMT atherosclerosis measured measured baPWV.70 Cases were detected, 40 patients with essential hypertension and healthy control group of 30 patients.Results:Hypertension baPWV、cIMT significantly higher than contrast ,difference was statistically significant(P <0.05),phlegm dampness type with hypertension、kang sheng based anger、yin xu yang kang type、baPWV and cIMT have tended to increase, baPWV and cIMT of yin xu yang kang type were higher than plegm dampness type,the difference was statiscally significant(P <0.05).Conclusion:Middle-aged patients with hypertension have the increased baPWV and cIMT,more obvious increase in hyperactivity type,positive correlation between the two.That artetial stiffness may reflect to some extent of atherosclerosis ,and to some entent guide TCM syndrome. |
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