CAJ | 학술논문

目的：研究和观察动态血压与持续心电图监测在肾性高血压中的临床应用效果。方法：收集原发性高血压患者共60例为对照组，肾性高血压患者共60例为观察组，对两组患者进行动态血液与持续心电图的监测，将两组患者的血压和心电图间的关系进行观察和对比。结果：观察组患者的ST-T段压低的发生率与心律失常发生率明显高于对照组，观察组患者夜间的舒张压和收缩压显著高于对照组，P<0.05。结论：肾性高血压患者ST-T段压低与患者血压呈负相关关系，心律失常的发生率与血压呈正相关关系，患者血压昼夜的调节功能出现障碍，且血压值与心电图的变化有着较大的联系。
목적：연구화관찰동태혈압여지속심전도감측재신성고혈압중적림상응용효과。방법：수집원발성고혈압환자공60례위대조조，신성고혈압환자공60례위관찰조，대량조환자진행동태혈액여지속심전도적감측，장량조환자적혈압화심전도간적관계진행관찰화대비。결과：관찰조환자적ST-T단압저적발생솔여심률실상발생솔명현고우대조조，관찰조환자야간적서장압화수축압현저고우대조조，P<0.05。결론：신성고혈압환자ST-T단압저여환자혈압정부상관관계，심률실상적발생솔여혈압정정상관관계，환자혈압주야적조절공능출현장애，차혈압치여심전도적변화유착교대적련계。
Objective: To study the clinical application of ambulatory blood pressure and electrocardiogram in renal hypertension. Methods: 60 patients with primary hypertension were enrolled as the control group and 60patients with renal hypertension were divided into the observation group. Then the ambulatory blood pressure and electrocardiogram of the patients in the two groups were detected. Then relationship between the blood pressure and the electrocardiogram of all the patients were compared. Results: The incidences of St-t segment depression and arrhythmias of patients in the observation group were all significantly higher than those of the control group. The night diastolic pressure and systolic blood pressure in the observation group were all significantly higher those in the control group (P<0.05) . Conclusion: St-t segment depression of the patients with renal hypertension was negatively correlated with their blood pressure. The incidence of arrhythmia was positively correlated with their blood pressure and there was something wrong with the regulation of the blood pressure in patients. The blood pressure values were closely related with the changes of electrocardiogram.