【摘 要】 目的：探讨C反应蛋白和颈动脉粥样硬化斑块与老年原发性高血压(EH)的关系。方法：入院后1日均采血定量检测C反应蛋白水平，住院1周内行颈动脉超声检查，观察颈动脉内中膜厚度，粥样斑块数量及部位。两组病人均经24小时动态血压检测证实。结果：高血压合并颈动脉粥样硬化的患者血清C反应蛋白水平明显高于对照组。EH组阳性率79.4%，对照组阳性率14.7%(P<0.05)。结论：血清C反应蛋白的高与低与颈动脉粥样硬化程度，内膜厚度，斑块数量有一定相关性。

    【关键词】：高血压 ；颈动脉粥样硬化斑块； C反应蛋白

    【中图分类号】 R 544.1 【文献标识码】A 【文章编号】1004- 7484(2012)04- 0129- 02

    【Abstract 】Objective：Observe the C respond protein and the carotid atherosclerosis have the relevance to the aged primary hypertension(EH). Method: Taked the blood sample of the patients the second day to determine the amounts of the components of the C respond protein , taked the ultrasonic examination of the carotid artery to observe it’s intimae and tunica elastica sickness, it’s atherosclerosis amount and part .Two sets of patients are confirmed by 24 hours dynamic state blood pressure examination. Result：The patients who suffering hypertension and carotid atherosclerosis have higher C respond protein than the compared set. The positive rate of the EH set is 79.4% ......