中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2010年
6期
589-591
,共3页
原发性高血压%颈椎病%头高位倾斜%血压%心率
原髮性高血壓%頸椎病%頭高位傾斜%血壓%心率
원발성고혈압%경추병%두고위경사%혈압%심솔
Essential hypertension%Cervical spondylosis%Head-up tilt%Blood pressure%Heart rate
目的 探讨原发性高血压(EH)合并颈椎病患者头高位倾斜后血压和心率的变化及可能机制.方法 EH 49例,根据临床症状,运用X光机、颈椎CT或MRI和椎动脉彩超等检查方法,确诊合并颈椎病23例(合并颈椎病组),不合并颈椎病患者26例(单纯EH组),测定2组患者血压、血脂、血糖,并测定头高位倾斜后的血压、心率.结果 合并颈椎痛组和单纯EH组头高位倾斜后血压变化差异有统计学意义[4(-21～14)mm Hg与-9(-27～-3)mm Hg,H=25.44,P<0.01],心率变化差异有统计学意义[2(-1-14)次/min与5(-2～11)次/min,H=9.30,P<0.01].结论 合并颈椎病患者头高位倾斜后血压不下降与交感神经兴奋可能有关.
目的 探討原髮性高血壓(EH)閤併頸椎病患者頭高位傾斜後血壓和心率的變化及可能機製.方法 EH 49例,根據臨床癥狀,運用X光機、頸椎CT或MRI和椎動脈綵超等檢查方法,確診閤併頸椎病23例(閤併頸椎病組),不閤併頸椎病患者26例(單純EH組),測定2組患者血壓、血脂、血糖,併測定頭高位傾斜後的血壓、心率.結果 閤併頸椎痛組和單純EH組頭高位傾斜後血壓變化差異有統計學意義[4(-21～14)mm Hg與-9(-27～-3)mm Hg,H=25.44,P<0.01],心率變化差異有統計學意義[2(-1-14)次/min與5(-2～11)次/min,H=9.30,P<0.01].結論 閤併頸椎病患者頭高位傾斜後血壓不下降與交感神經興奮可能有關.
목적 탐토원발성고혈압(EH)합병경추병환자두고위경사후혈압화심솔적변화급가능궤제.방법 EH 49례,근거림상증상,운용X광궤、경추CT혹MRI화추동맥채초등검사방법,학진합병경추병23례(합병경추병조),불합병경추병환자26례(단순EH조),측정2조환자혈압、혈지、혈당,병측정두고위경사후적혈압、심솔.결과 합병경추통조화단순EH조두고위경사후혈압변화차이유통계학의의[4(-21～14)mm Hg여-9(-27～-3)mm Hg,H=25.44,P<0.01],심솔변화차이유통계학의의[2(-1-14)차/min여5(-2～11)차/min,H=9.30,P<0.01].결론 합병경추병환자두고위경사후혈압불하강여교감신경흥강가능유관.
Objective To investigate the change of blood pressure and heart rate in patients of essential hypertension combined with cervical spondylosis in head-up tilt and its potential mechanism. Methods The hypertensive patients were divided into cervical spondylosis group(23 cases) and without cervical spondylosis group (26 cases) by clinical symptom and X-ray machine,CT.MRI and color ultrasonography,then their blood pressure, blood glucose and lipid were measured,and the changes of blood pressure and heart rate were obtained in head-up tilt. Results There was significant difference of blood pressure change between the hypertensive with and without cervical spondylosis(4(-21 ～ 14 mm Hg v. s. -9(-27～-3)mm Hg,P<0. 01),and there was also difference of heart rate change between the hypertensive with and without cervical spondylosis(2(-1 ～14) bpm v. s. 5(-2 ～11) bpm, P < 0. 01). Conclusions There is no decline in blood pressure in the hypertensive with cervical spondylosis in head-up tilt and this might be due to the exciting of sympathetic nerve.
