CAJ | 학술논문

目的：探讨心率变异性（ HRV）和心率减速力（ DC）在高血压合并冠心病患者中的相关性，为高血压合并冠心病的临床诊治提供参考。方法：选取81例高血压合并冠心病患者（研究组）和80例健康志愿者（对照组）为研究对象，分别监测DC和HRV。结果：结果表明高血压合并冠心病患者心率减速力明显低于正常组研究对象，P＜0．05，差异有统计学意义；高血压合并冠心病患者心率变异性的SDNN、RMSSD和PNN50等三个指标均较低，均P＜0．05，差异有统计学意义；高血压合并冠心病患者心率减速力与心率变异性的SDNN、RMSSD和PNN50等三个指标均呈正相关性，均P＜0．05。结论：高血压合并冠心病患者DC与HRV具有正相关性，可协同作为诊治依据。
목적：탐토심솔변이성（ HRV）화심솔감속력（ DC）재고혈압합병관심병환자중적상관성，위고혈압합병관심병적림상진치제공삼고。방법：선취81례고혈압합병관심병환자（연구조）화80례건강지원자（대조조）위연구대상，분별감측DC화HRV。결과：결과표명고혈압합병관심병환자심솔감속력명현저우정상조연구대상，P＜0．05，차이유통계학의의；고혈압합병관심병환자심솔변이성적SDNN、RMSSD화PNN50등삼개지표균교저，균P＜0．05，차이유통계학의의；고혈압합병관심병환자심솔감속력여심솔변이성적SDNN、RMSSD화PNN50등삼개지표균정정상관성，균P＜0．05。결론：고혈압합병관심병환자DC여HRV구유정상관성，가협동작위진치의거。
Objective:To investigate the correlation of heart rate deceleration force ( DC) and heart rate variability ( HRV) in patients with hypertension combination with coronary heart disease .Method:81 cases of patients with hypertension combination with coronary heart disease ( study group ) and 80 healthy volun-teers ( control group ) were monitored by DC and HRV .Result:The results showed that the DC of the study group was significantly lower than that of the control group , P<0.05.The SDNN, RMSSD and PNN50 of the HRV of the study group were all significantly lower than those of the control group , all P<0.05.And there was positive correlation between the two groups of the SDNN , RMSSD and PNN50 of the HRV, all P<0.05. Conclusion:There's positive correlation of DC and HRV for patients with hypertension combination with cor-onary heart disease and which could be used as treatment based on collaboration .