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目的分析农村肥胖成人高血压患者颈动脉粥样硬化特征。方法连续选择近期就诊的原发性高血压患者,按其是否肥胖进行分类,并进行1∶1配对,配对条件为:①性别相同。②年龄相同(≤3岁)。③高血压病程相同(≤1年)。④民族相同。入选者接受了颈动脉彩色多普勒检查。结果共配成29对,男18对,女11对。肥胖高血压组的颈总动脉IMT、颈内动脉IMT、颈外动脉IMT、颈动脉分叉处IMT以及颈部动脉斑块检出率均明显高于对照组(P均<0.05～0.01)。结论农村肥胖成人高血压患者的颈动脉粥样硬化表现较为严重。
Objective To analyze the characteristics of carotid atherosclerosis in rural obese hypertensive patients. Methods A series of 1: 1 pairs of patients with essential hypertension who were selected for immediate treatment were classified according to whether they were obese or not. Matching conditions were as follows: (1) The same sex. ② the same age (≤ 3 years old). ③ the same duration of hypertension (≤ 1 year). ④ same ethnic. Participants underwent carotid color Doppler examination. A total of 29 pairs of results, 18 males and 11 females. The common carotid artery IMT, IMT, IMT, carotid bifurcation IMT and carotid plaque in obese hypertensive group were significantly higher than those in control group (all P <0.05-0.01). Conclusion Carotid atherosclerosis in rural obese hypertensive patients is more serious.