摘要
目的:研究脉压(PP)与冠状动脉病变程度的关系。方法:将619例行冠状动脉造影的患者按临床诊断分为:对照组、心绞痛组(根据冠脉病变支数分为:单支病变组、双支病变组、三支病变组)、心肌梗死组,比较以上各组的脉压水平。再把无心肌梗死的患者401例根据有无高血压病分为高血压和非高血压2组,比较2组不同PP水平患者冠脉Gensini积分。结果:随着冠脉病变支数的增加,脉压逐渐增大,各组间差异有统计学意义(P<0.05);无论是否合并高血压,PP≥60mmHg组Gensini积分均高于PP<60mmHg组(P<0.05)。结论:无论有无高血压,脉压与冠脉病变的严重程度均有关。
Aim： To determine the pulse pressure（PP） in patients with different coronary lesion. Methods：A total of 619 patients who underwent coronary angiography were included and divided into three groups according to the clinical diagnosis：control group, angina pectoris group and myocardial infarction group. The angina peetoris group was further allocated into three groups according to the number of coronary artery with stcnosis, and PP level was compared among different groups. Then the patients without myocardial infarction were allocated into 2 groups according to PP level： PP 〈 60 mmHg group and PP≥60 mmHg group,and then subdivided according to whether with hypertension or not, and the Gensini score was compared between the groups. Results： In patients without myocardial infarction, PP level increased significantly with the increase of damaged coronary artery number. Whether with hypertension or not, the Gensiui score was significantly higher in PP≥60 mmHg group than in PP 〈 60 mmHg group. Conclusion ： PP level is related with the severity of coronary artery stenosis in patients with or without hypertension.
出处
《郑州大学学报（医学版）》
CAS
北大核心
2009年第3期641-644,共4页
Journal of Zhengzhou University(Medical Sciences)
关键词
冠状动脉疾病
脉压
高血压
coronary artery disease
pulse pressure
hypertension
作者简介
通讯作者，女，1960年生，教授，主任医师，研究方向：高血压、冠心病的治疗，E-mail：liling63035@sina．com
