Analysis in changes of arterial elasticity in elderly patients with metabolic syndrome and nursing countermeasures / 中国实用护理杂志

ABSTRACT

Objective The present study was performed to evaluate changes of arterial elasticity in elderly patients with metabolic syndrome and its influence factors. Methods Using modified Windkessel model of the circulation and pulse waveform analysis,large artery elasticity indices(C1) and small artery elasticity indices (C2) of 221 old metabolic syndrome patients(the experimental group) and 206 old healthy subjects (the control group) were measured. Correlation of arterial elasticity changes with systolic blood pressure (SBp), diastolic blood pressure (DBp), mean blood pressure (MBp),pulse pressure (Pp), body weight indexes(BMI),body adipic weight, level of serum total cholesterol(TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C), low density lipoprotein cholesterol (LDL-C) and glucose was also analyzed. Results C1 and C2 reduced in the experimental, but SBp, DBp, MBp, Pp, BMI, body adipic weight, level of serum total cholesterol ( TC ), triglyceride (TG), low density lipoprotein cholesterol (LDL-C)and glucose were higher. There was a negative association between C1 and C2 and age, SBp, DBp, MBp and Pp and positive correlation with body weight indexes. But C1 and C2 were not correlated with body adipic weight, TG and HDL-C. Conclusions Arterial elasticity of elderly patients with metabolic syndrome were reduced. Arterial elasticity assessment offers a means of risk stratification for the clinical evaluation of vascular structural and functional injuries.