中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
24期
33-35
,共3页
高血压%动态血压变异型%心室重构
高血壓%動態血壓變異型%心室重構
고혈압%동태혈압변이형%심실중구
High blood pressure%Dynamic blood pressure variant%Ventricular remodeling
目的：探讨高血压病人动态血压变异性与心室重构的关系。方法：选择140例高血压患者为观察组，140例体检正常的人为对照组。比较两组24h平均收缩压、平均舒张压、24h血压变异性、舒张期左心室后壁厚度(LVPWT)、舒张期室间隔厚度(IVST)、左心室舒张末期内径(LVIDd)、左心室质量指数(LVMI)。结果：观察组24h平均收缩压、平均舒张压、收缩压标准差、舒张压标准差、LVPWT、IVST、LVIDd和LVMI分别为（131.85±14.77）mm Hg、（80.57±9.24）mm Hg、（12.26±3.13）和（8.94±2.52）、（10.74±3.15）mm、（11.87±1.92）mm、（53.14±7.39）mm、（45.24±5.18）g/m2，均显著高于对照组（P<0.05）。结论：相比于正常人，高血压动态血压变异性更为显著，心室重构明显。
目的：探討高血壓病人動態血壓變異性與心室重構的關繫。方法：選擇140例高血壓患者為觀察組，140例體檢正常的人為對照組。比較兩組24h平均收縮壓、平均舒張壓、24h血壓變異性、舒張期左心室後壁厚度(LVPWT)、舒張期室間隔厚度(IVST)、左心室舒張末期內徑(LVIDd)、左心室質量指數(LVMI)。結果：觀察組24h平均收縮壓、平均舒張壓、收縮壓標準差、舒張壓標準差、LVPWT、IVST、LVIDd和LVMI分彆為（131.85±14.77）mm Hg、（80.57±9.24）mm Hg、（12.26±3.13）和（8.94±2.52）、（10.74±3.15）mm、（11.87±1.92）mm、（53.14±7.39）mm、（45.24±5.18）g/m2，均顯著高于對照組（P<0.05）。結論：相比于正常人，高血壓動態血壓變異性更為顯著，心室重構明顯。
목적：탐토고혈압병인동태혈압변이성여심실중구적관계。방법：선택140례고혈압환자위관찰조，140례체검정상적인위대조조。비교량조24h평균수축압、평균서장압、24h혈압변이성、서장기좌심실후벽후도(LVPWT)、서장기실간격후도(IVST)、좌심실서장말기내경(LVIDd)、좌심실질량지수(LVMI)。결과：관찰조24h평균수축압、평균서장압、수축압표준차、서장압표준차、LVPWT、IVST、LVIDd화LVMI분별위（131.85±14.77）mm Hg、（80.57±9.24）mm Hg、（12.26±3.13）화（8.94±2.52）、（10.74±3.15）mm、（11.87±1.92）mm、（53.14±7.39）mm、（45.24±5.18）g/m2，균현저고우대조조（P<0.05）。결론：상비우정상인，고혈압동태혈압변이성경위현저，심실중구명현。
Objective:To study the relationship between ambulatory blood pressure variability and ventricular remodeling in patients with hypertension. Methods:140 cases of high blood pressure were selected in the observation group, 140 cases of normal people in the control group. 24 h average systolic blood pressure and average diastolic pressure, 24 h blood pressure variability, diastolic left ventricular posterior wall thickness (LVPWT), diastolic ventricular septal thickness (IVST), left ventricular end-diastolic diameter (LVIDd), left ventricular mass index (LVMI) of the two groups were compared. Results: 24 h average systolic blood pressure , average diastolic and systolic blood pressure standard deviation, diastolic blood pressure standard deviation, LVPWT, IVST, LVIDd and LVMI of the observation group were respectively (131.85+14.77) mm Hg, (80.57±9.24) mm Hg and 12.26±3.13 and 3.13, (10.74±3.15) mm, 2.52 mm (11.87± 1.92) mm, (53.14±7.39) mm, (45.24±5.18) g/m2, significantly higher than those of the control group (P<0.05). Conclusion:Compared with the normal, high blood pressure ambulatory blood pressure variability is more significant with obvious ventricular remodeling.
