占美锦 周建燮

    [摘要] 目的 探讨臂踝脉搏波传导速度(baPWV)、踝臂指数(ABI)与高血压及其合并代谢紊乱的关系。 方法 选择2019年1～11月我院90例住院高血压患者及50例体检健康成人，前者根据是否合并代谢紊乱，分为单纯高血压组(n=42)及高血压合并代谢紊乱组(n=48)，后者作为对照的非高血压组(n=50)，分别采集各组受检者的血压、身高和体重资料，运用多普勒彩色超聲观察颈动脉(颅外段)内膜中层厚度(IMT)，采用动脉硬化仪器测定臂踝脉搏波传导速度(baPWV)及踝臂指数(ABI)，并对上述三组相关指标进行对比分析。 结果 单纯高血压组与非高血压组相比，单纯高血压组在BMI、baPWV方面均增高，差异有统计学意义(P0.05);与单纯高血压组相比，高血压合并代谢紊乱组SBP、DBP、BMI、IMT及baPWV差异有统计学意义(P0.05)。 结论 baPWV异常增高与高血压显著相关，且与血压水平及其是否合并代谢紊乱呈正相关，而ABI变化不显著。对于高血压患者，baPWV指标可用于反应高血压水平及病变程度，指导临床诊治。

    [关键词] 臂踝脉搏波传导速度;踝臂指数;高血压;代谢紊乱

    [中图分类号] R541.4? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-9701(2020)35-0020-03

    [Abstract] Objective To investigate the relationship between brachial-ankle pulse wave velocity(baPWV)， ankle-brachial index(ABI) and hypertension and its complicated metabolic disorders. Methods From January 2019 to November 2019， 90 inpatients with hypertension in our hospital and 50 healthy adults who received physical examination were selected. The former were divided into simple hypertension group(n=42) and hypertension complicated with metabolic disorder group(n=48) according to whether they had metabolic disorders. The latter were assigned to the nonhypertensive group(n=50) as controls. Blood pressure ......