高血压分形理论的医学与哲学发轫
摘要
<正>分形是一个崭新的科学理论。这一概念最早由美籍法国数学家曼德布罗特于1967年在美国Science杂志上提出,并于1973年在法兰西讲学期间提出了分形几何的思想,又于1975年正式提出Fractal这一词。随后,分形理论被广泛应用到物理、数学、化学、生物、医学、社会学、哲学、计算机等学科。了解和熟悉分形理论,并将之运用到基础医学、临床医学问题的理论探讨和实践研究中,对于当前很多医学难题的解决有重
引文
[1]迟相林.来自相对论和量子力学的一些联想[J].中华高血压杂志,2017,25(5):402-403.
[2]迟相林,于永鹏,张昭强.血压波动是混沌吗?[J].医学争鸣,2013,4(2):45-48.
[3]林夏水.分形的哲学漫步[M].北京:首都师范大学出版社,1999:34-35.
[4]Verdecchia P,Schillaci G,Porcellati C.Dippers versus non-dippers[J].J Hypertens Suppl,1991,9(8):S42-44.
[5]Sahiner L,Okutucu S,Karakulak UN,et al.Assessment of the relationship between non-dipping phenomenon and heart rate turbulence[J].Cardiol J,2012,19(2):140-145.
[6]寇惠娟,高登峰,马瑞,等.高血压患者血压昼夜节律与早期肾损害的关系[J].中华高血压杂志,2015,23(7):661-666.
[7]倪琦,陈炼,楼丽娜,等.原发性高血压患者血压昼夜节律、血压变异性与动脉粥样硬化的相关性研究[J].国际心血管病杂志,2015,42(2):126-128.
[8]陈英,陈聪.老年高血压患者血压波动与靶器官损害的相关性研究[J].重庆医学,2013,42(19):2231-2234.
[9]Hermida RC,Ayala DE,Mojón A,et al.Blunted sleep-time relative blood pressure decline increases cardiovascular risk independent of blood pressure level-the"normotensive non-dipper"paradox[J].Chronobiol Int,2013,30(1/2):87-98.
[10]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8):701-743.
[11]Farooq U,Ray SG.2014guideline for the management of high blood pressure(eighth joint national committee):take-home messages[J].Med Clin North Am,2015,99(4):733-738.
[12]迟相林,毕建忠,张道强,等.高血压是医学问题,也是社会公共问题[J].中华高血压杂志,2016,24(6):505-508.
[13]张廷杰,黄刚,徐俊波.动脉僵硬基础与临床研究的某些进展(续一)[J].中华高血压杂志,2014,22(3):287-289.
[14]Bruno RM,Duranti E,Ippolito C,et al.Different impact of essential hypertension on structural and functional age-related vascular changes[J].Hypertension,2017,69(1):71-78.
[15]Whelton PK,Carey RM,Aronow WS,et al.2017ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention,detection,evaluation,and management of high blood pressure in adults:a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines[J].J Am Coll Cardiol,2017,pii:S0735-1097(17)41519-1.
[16]王红霞,陈步星.血压变异性与靶器官损害研究进展[J].中国心血管病研究,2013,11(5):393-396.
[17]迟相林,宋军,刘澄玉,等.血压变异性研究中的几个疑点和难点问题[J].中华高血压杂志,2016,24(12):1110-1115.
[18]Bliziotis IA,Destounis A,Stergiou GS.Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension:a systematic review and meta-analysis[J].J Hypertens,2012,30(7):1289-1299.
[19]Kollias A,Lagou S,Zeniodi ME,et al.Association of central versus brachial blood pressure with target-organ damage:systematic review and meta-analysis[J].Hypertension,2016,67(1):183-190.
[20]詹霞,迟相林,毕建忠,等.从高血压角度认识头晕[J].医学争鸣,2016,7(6):20-24.
[21]朱建发,姚依群.中心动脉压及其与周围动脉压的关系[J].中国循证心血管医学杂志,2009,1(3):182-185.
[22]董翔玉,李国庆.维、汉族患者中心动脉压与周围动脉压及尿微量白蛋白的关系[J].中国心血管病研究,2015,13(2):134-137.
[23]刘鹏,周晓芳.中心动脉压临床研究进展[J].实用医院临床杂志,2009,6(6):125-129.
[24]王欢,刘海明,梁晓慧,等.不同血压水平状态下的中心动脉压与诊室肱动脉血压[J].中华高血压杂志,2017,25(11):1061-1066.
[25]杨刚,屈胜年,王曼.基于手指动脉波的无创血压测量系统[J].西安邮电大学学报,2017,22(2):116-121.
[26]朱大年,王庭槐.生理学[M].8版.北京:人民卫生出版社,2013:120-124.
[27]迟相林.动脉血压的形成[J].中华高血压杂志,2015,23(8):786-789.
[28]丁绍祥,柳茵,刘维军.原发性高血压与肾脏的相关性及治疗[J].中国老年学杂志,2015,35(11):3169-3171.
[29]Savoia C,Battistoni A,Calvez V,et al.Microvascular alterations in hypertension and vascular aging[J].Curr Hypertens Rev,2017,13(1):16-23.
[30]Zhu H,Li Z,Lv J,et al.Effects of cerebral small vessel disease on the outcome of patients with ischemic stroke caused by large artery atherosclerosis[J].Neurol Res,2018,40(5):381-390.
[31]谢寒霜,王瑞平,王艳洁,等.基于脉搏波特征参数的无创连续血压监测[J].中国医疗设备,2017,32(10):39-43.
[32]Crilly M,Coch C,Bruce M,et al.Repeatability of central aortic blood pressures measured non-invasively using radial artery applanation tonometry and peripheral pulse wave analysis[J].Blood Press,2007,16(4):262-269.
[33]Stea F,Bozec E,Millasseau S,et al.Comparison of the Complior Analyse device with Sphygmocor and Complior SP for pulse wave velocity and central pressure assessment[J].J Hypertens,2014,32(4):873-880.
[2]迟相林,于永鹏,张昭强.血压波动是混沌吗?[J].医学争鸣,2013,4(2):45-48.
[3]林夏水.分形的哲学漫步[M].北京:首都师范大学出版社,1999:34-35.
[4]Verdecchia P,Schillaci G,Porcellati C.Dippers versus non-dippers[J].J Hypertens Suppl,1991,9(8):S42-44.
[5]Sahiner L,Okutucu S,Karakulak UN,et al.Assessment of the relationship between non-dipping phenomenon and heart rate turbulence[J].Cardiol J,2012,19(2):140-145.
[6]寇惠娟,高登峰,马瑞,等.高血压患者血压昼夜节律与早期肾损害的关系[J].中华高血压杂志,2015,23(7):661-666.
[7]倪琦,陈炼,楼丽娜,等.原发性高血压患者血压昼夜节律、血压变异性与动脉粥样硬化的相关性研究[J].国际心血管病杂志,2015,42(2):126-128.
[8]陈英,陈聪.老年高血压患者血压波动与靶器官损害的相关性研究[J].重庆医学,2013,42(19):2231-2234.
[9]Hermida RC,Ayala DE,Mojón A,et al.Blunted sleep-time relative blood pressure decline increases cardiovascular risk independent of blood pressure level-the"normotensive non-dipper"paradox[J].Chronobiol Int,2013,30(1/2):87-98.
[10]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8):701-743.
[11]Farooq U,Ray SG.2014guideline for the management of high blood pressure(eighth joint national committee):take-home messages[J].Med Clin North Am,2015,99(4):733-738.
[12]迟相林,毕建忠,张道强,等.高血压是医学问题,也是社会公共问题[J].中华高血压杂志,2016,24(6):505-508.
[13]张廷杰,黄刚,徐俊波.动脉僵硬基础与临床研究的某些进展(续一)[J].中华高血压杂志,2014,22(3):287-289.
[14]Bruno RM,Duranti E,Ippolito C,et al.Different impact of essential hypertension on structural and functional age-related vascular changes[J].Hypertension,2017,69(1):71-78.
[15]Whelton PK,Carey RM,Aronow WS,et al.2017ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention,detection,evaluation,and management of high blood pressure in adults:a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines[J].J Am Coll Cardiol,2017,pii:S0735-1097(17)41519-1.
[16]王红霞,陈步星.血压变异性与靶器官损害研究进展[J].中国心血管病研究,2013,11(5):393-396.
[17]迟相林,宋军,刘澄玉,等.血压变异性研究中的几个疑点和难点问题[J].中华高血压杂志,2016,24(12):1110-1115.
[18]Bliziotis IA,Destounis A,Stergiou GS.Home versus ambulatory and office blood pressure in predicting target organ damage in hypertension:a systematic review and meta-analysis[J].J Hypertens,2012,30(7):1289-1299.
[19]Kollias A,Lagou S,Zeniodi ME,et al.Association of central versus brachial blood pressure with target-organ damage:systematic review and meta-analysis[J].Hypertension,2016,67(1):183-190.
[20]詹霞,迟相林,毕建忠,等.从高血压角度认识头晕[J].医学争鸣,2016,7(6):20-24.
[21]朱建发,姚依群.中心动脉压及其与周围动脉压的关系[J].中国循证心血管医学杂志,2009,1(3):182-185.
[22]董翔玉,李国庆.维、汉族患者中心动脉压与周围动脉压及尿微量白蛋白的关系[J].中国心血管病研究,2015,13(2):134-137.
[23]刘鹏,周晓芳.中心动脉压临床研究进展[J].实用医院临床杂志,2009,6(6):125-129.
[24]王欢,刘海明,梁晓慧,等.不同血压水平状态下的中心动脉压与诊室肱动脉血压[J].中华高血压杂志,2017,25(11):1061-1066.
[25]杨刚,屈胜年,王曼.基于手指动脉波的无创血压测量系统[J].西安邮电大学学报,2017,22(2):116-121.
[26]朱大年,王庭槐.生理学[M].8版.北京:人民卫生出版社,2013:120-124.
[27]迟相林.动脉血压的形成[J].中华高血压杂志,2015,23(8):786-789.
[28]丁绍祥,柳茵,刘维军.原发性高血压与肾脏的相关性及治疗[J].中国老年学杂志,2015,35(11):3169-3171.
[29]Savoia C,Battistoni A,Calvez V,et al.Microvascular alterations in hypertension and vascular aging[J].Curr Hypertens Rev,2017,13(1):16-23.
[30]Zhu H,Li Z,Lv J,et al.Effects of cerebral small vessel disease on the outcome of patients with ischemic stroke caused by large artery atherosclerosis[J].Neurol Res,2018,40(5):381-390.
[31]谢寒霜,王瑞平,王艳洁,等.基于脉搏波特征参数的无创连续血压监测[J].中国医疗设备,2017,32(10):39-43.
[32]Crilly M,Coch C,Bruce M,et al.Repeatability of central aortic blood pressures measured non-invasively using radial artery applanation tonometry and peripheral pulse wave analysis[J].Blood Press,2007,16(4):262-269.
[33]Stea F,Bozec E,Millasseau S,et al.Comparison of the Complior Analyse device with Sphygmocor and Complior SP for pulse wave velocity and central pressure assessment[J].J Hypertens,2014,32(4):873-880.