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[目的]探讨高血压合并糖尿病对老年人心血管疾病的影响。[方法]选择我院2009年7月～2010年7月期间收治的老年高血压合并糖尿病患者80例为研究组,另选取同期入院体检的血压和血糖均正常的健康人群80例为对照组。经相关检测后分别对两组患者的颈动脉超声测量指标和超声心动图测量指标进行比较分析。[结果]与对照组患者相比,研究组患者颈动脉超声测量指标CCA-IMT和ICA-IMT均显著提高,而CCA-PSV和ICA-PSV则显著降低,差异均有统计学意义(P﹤0.05)。与此同时,研究组患者超声心动图测量指标IVST、LVPW、LVMI、LVMI均显著提高,而peakE/A则显著降低,差异均有统计学意义(P﹤0.05)。[结论]高血压合并糖尿病与老年人心血管疾病之间存在着一定的相关性,对于减少老年高血压合并糖尿病患者心血管疾病的发生具有十分重要的临床意义。
[Objective] To investigate the effect of hypertension complicated with diabetes on cardiovascular diseases in the elderly. [Methods] Eighty elderly patients with hypertension in our hospital from July 2009 to July 2010 were selected as the study group. Another 80 healthy subjects with normal blood pressure and blood glucose were selected as the control group. After the relevant test, the carotid ultrasonic measurement indexes and echocardiographic measurement indexes of the two groups were compared respectively. [Results] Compared with the control group, the carotid artery ultrasound parameters CCA-IMT and ICA-IMT in the study group were significantly increased, while the levels of CCA-PSV and ICA-PSV were significantly decreased (P < 0.05). At the same time, IVST, LVPW, LVMI and LVMI in study group were significantly increased, while peakE / A was significantly decreased, the difference was statistically significant (P <0.05). [Conclusion] Hypertension with diabetes and cardiovascular disease in the elderly there is a certain correlation between, for reducing the incidence of cardiovascular disease in elderly patients with hypertension and diabetes has a very important clinical significance.