有创中心动脉压与外周动脉压差及其与冠状动脉病变程度的关系The relationship between the pulse pressure differences of central and peripheral measurement with the extent of coronary atherosclerotic lesions
张晓锋,邵玉玲,张晓波,刘艳,惠玲玲,樊沫,史俊忠
摘要(Abstract):
目的观察中心动脉压与外周动脉压之间的差异及其与冠状动脉粥样硬化病变程度之间的关系。方法选取同期行冠状动脉造影的患者322例,其中男218例,女104例,年龄40~82(59.61±9.01)岁。冠状动脉造影时同时测定中心动脉压及外周动脉压,根据冠状动脉造影结果对冠状动脉病变严重程度进行分组。观察各组间中心-外周脉压之间的差值(简称中-外脉压差)同冠状动脉粥样硬化病变程度之间的关系。结果冠心病组中-外脉压差明显高于非冠心病组[(29.47±16.71)mm Hg比(19.97±7.99)mm Hg,P<0.05]。在冠状动脉狭窄程度、冠状动脉病变支数、冠状动脉Gensini积分的分组中,随着冠状动脉粥样硬化程度的增加,中-外脉压差增大,各组两两间比较差异均有统计学意义(P<0.05)。结论中-外脉压差同冠状动脉粥样硬化病变程度有明显的相关性,可预测冠状动脉粥样硬化病变的程度。
关键词(KeyWords): 中心动脉压;外周动脉压;脉压;冠状动脉粥样硬化;冠状动脉造影术
基金项目(Foundation):
作者(Author): 张晓锋,邵玉玲,张晓波,刘艳,惠玲玲,樊沫,史俊忠
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