脉压与心脑血管疾病危险因素的关系探讨

目的：了解人群脉压的分布特征及其与心血管病危险因素的关系。方法：对某医院2003-2004年体检者的血压、心率、血脂、血糖、血尿酸等资料进行描述，分析脉压与心血管疾病危险因素的关系。结果：本组人群平均脉压42．99mmHg，男女差异无统计学意义（P〉0．05）；随脉压增加，多种危险因素如体重指数、血压（收缩压、舒张压）、血糖、血脂（胆固醇、甘油三脂、低密度脂蛋白胆固醇）、血尿酸等均呈增加趋势（P〈0．001），收缩压增加的趋势强于舒张压；在较高的脉压水平，各种代谢性疾病如高脂血症、高尿酸血症、糖尿病等的检出率均增高（P〈0．001）。结论：脉压增大与多种代谢性疾病之间存在密切关联；脉压升高是心脑血管病的重要危险因素，应予以高度重视。

STUDY ON THE RELATIONSHIP BETWEEN PULSE PRESSURE AND RISK FACIORS OF CARDIO/CEREBROVASCULAR DISEASE.

Objective to master the distribution characteristics of pulse pressure, and find out their relation with risk factors of cardio / cerebrovascular disease.Method:Situations about blood pressure, heart rate, blood lipids, blood glucose, uric acid of individuals who take physical check up in a hospital from 2003 to 2004 were described, and the relation among pulse pressure, types of hypertension and risk factors of cardio / cerebrovascular disease were analyzed.Result:The average pulse pressure of this group is 42.99 mmHg, no statistical difference between male and female (P>0.05). With the increase of pulse pressure, several risk factors such as body mass index, blood pressure, including systolic and diastolic pressure, blood glucose, blood lipids, including cholesterin, triglyceride and low-density lipoproteinemia cholesterin, uric acid and so on, raised(P< 0.001). Systolic pressure increased higher than diastolic pressure. With higher pulse pressure, the detection rate of many metabolic diseases such as hyperlipidemia, hyperuricemia, diabetes, and so on, increased(P<0.001).Conclusion:There is a close relation between increased pulse pressure and types of metabolic disease. The increase of pulse pressure is one of the key risk factors of cardio / cerebrovascular disease, so the importance should be attached to it.