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目的：探究合并H型高血压与合并非H型高血压的冠心病患者的冠脉病变严重程度的差异。方法本研究共纳入129例研究对象，其中H型高血压患者88例(占68.2%)，非H型高血压患者41例(占31.8%)。29例(22.5%)研究对象未患冠心病，100例(77.5%)研究对象患冠心病。结果1.H型高血压组的冠心病患病率高于非H型高血压组。2.H型高血压患者冠心病病变支数更多。3.H型高血压合并冠心病的患者的Gensini评分明显高于非H型高血压合并冠心病的患者。结论冠心病患者冠脉病变的程度与H型高血压有关，H型高血压患者的冠脉病变程度可能更严重。“,”Objective To study the relationship between H-hypertension and coronary artery lesion severity.Methods 129 cases diagnosed “Hypertension” voluntary underwent coronary angiography and measure their homocysteine level.According to the coronary angiography results,they were divided into CHD group and non-CHD group,according to the level of homocysteine,they were divided into H-hypertension group and non-H-hypertension group.Results H-hypertensive patients are more likely to suf er from coronary heart disease. In the evaluation of severity of coronary lesions Gensini score and count areas, H-type hypertensive patients more susceptible to two or more vessel disease, Gensini score higher.Conclusion The severity of coronary artery lesion in patients with CHD is related to H-hypertension,a patient with H-hypertension and CHD ,his or her severity of coronary artery lesion may be more serious.