CAJ | 학술논문

目的：分析新疆阿勒泰地区布尔津县哈萨克族原发性高血压患者的心率变异结果，为原发性高血压的诊治提供科学依据。方法以哈萨克族原发性高血压患者为调查对象，应用24小时动态血压记录器和24小时动态心电图记录器，记录并使用计算机软件进行分析。结果总人数108例，根据血压昼夜节律是否异常分成两组，A组血压昼夜节律的表现为勺型，有51例，其中男36例，女15例，平均年龄(52±15)岁；B组表现为血压异常节律型，有57例，男39例，女18例，平均年龄(54±16)岁。心率变异各指标分析，B组比A组降低，P<0.05，其差异有统计学意义。结论哈萨克族原发性高血压患者可以出现自主神经功能障碍、血压昼夜节律异常、靶器官损害三种表现，三者之间有密切联系，检测心率变异是诊治原发性高血压的重要依据。
목적：분석신강아륵태지구포이진현합살극족원발성고혈압환자적심솔변이결과，위원발성고혈압적진치제공과학의거。방법이합살극족원발성고혈압환자위조사대상，응용24소시동태혈압기록기화24소시동태심전도기록기，기록병사용계산궤연건진행분석。결과총인수108례，근거혈압주야절률시부이상분성량조，A조혈압주야절률적표현위작형，유51례，기중남36례，녀15례，평균년령(52±15)세；B조표현위혈압이상절률형，유57례，남39례，녀18례，평균년령(54±16)세。심솔변이각지표분석，B조비A조강저，P<0.05，기차이유통계학의의。결론합살극족원발성고혈압환자가이출현자주신경공능장애、혈압주야절률이상、파기관손해삼충표현，삼자지간유밀절련계，검측심솔변이시진치원발성고혈압적중요의거。
Objective To analyze the test results of heart rate variability (HRV) in primary hypertension patients of Kazak nationality in Buerjin County, Altay area, Xinjiang Uygur Autonomous Region, China, and to provide a scientific basis for the diagnosis and treatment of primary hypertension. Methods This study included primary hypertension patients of Kazak nationality. These patients were tested using the 24h ambulatory blood pressure recorder and 24h ambulatory electrocardiographic recorder, and the collected data were analyzed with software. Results Of all 108 subjects, 51 cases (group A) had a dipper pattern of circadian blood pressure, including 36 males and 15 females, with a mean age of (52±15) years, and 57 cases (group B) had an abnormal circadian blood pressure pattern, including 39 males and 18 females, with a mean age of (54±16) years. Group B had significantly lower values of HRV indices than group A (P<0.05). Conclusion Primary hypertension patients of Kazak nationality may have manifestations of autonomic dysfunction, abnormal circadian blood pressure pattern, and target organ injury, which are closely related to each other. HRV test is an important basis for the diagnosis and treatment of primary hypertension.