中医临床研究
中醫臨床研究
중의림상연구
Clinical Journal of Chinese Medicine
2015年
30期
23-28
,共6页
魏世超%张林香%郑星宇%薛飞龙%骆杰伟%郭苗苗%孟晓嵘%黄昉萌
魏世超%張林香%鄭星宇%薛飛龍%駱傑偉%郭苗苗%孟曉嶸%黃昉萌
위세초%장림향%정성우%설비룡%락걸위%곽묘묘%맹효영%황방맹
高血压病%血压变异性%脉象
高血壓病%血壓變異性%脈象
고혈압병%혈압변이성%맥상
Essential hypertension%Blood pressure variability%Pulse Condition
目的:探讨高血压病(EH)脉象参数与血压变异性(BPV)的相关性.方法:收集高血压病130例的脉象参数(DDMX-100脉象仪)及24 h动态血压数据,计算BPV.结果:偏相关分析显示,调整年龄、体重指数等影响因素后,24 h SBP与h3、h3/h1、h4/h1、W1、As、Ad呈负相关,r分别-0.294、-0.327、-0.382、-0.348、-0.177、-0.289(P<0.05),而h5/h1与24 h SBP、24 h DBP呈正相关,r分别为0.207、0.192(P<0.05);PP与h3、h3/h1、h4/h1、W1、As、Ad呈负相关,r分别为-0.322、-0.373、-0.385、-0.323、-0.218、-0.274(P<0.05);24 h SBPSD与h4/h1、Ad呈负相关(r = -0.264、-0.269,P<0.01);24 h SBPL与h3、h3/h1、h4/h1、W1、As、Ad呈负相关(r = -0.399、-0.380、-0.478、-0.385、-0.276、-0.428,P<0.01).结论:血压变异性(BPV)影响了高血压病的脉象构成.
目的:探討高血壓病(EH)脈象參數與血壓變異性(BPV)的相關性.方法:收集高血壓病130例的脈象參數(DDMX-100脈象儀)及24 h動態血壓數據,計算BPV.結果:偏相關分析顯示,調整年齡、體重指數等影響因素後,24 h SBP與h3、h3/h1、h4/h1、W1、As、Ad呈負相關,r分彆-0.294、-0.327、-0.382、-0.348、-0.177、-0.289(P<0.05),而h5/h1與24 h SBP、24 h DBP呈正相關,r分彆為0.207、0.192(P<0.05);PP與h3、h3/h1、h4/h1、W1、As、Ad呈負相關,r分彆為-0.322、-0.373、-0.385、-0.323、-0.218、-0.274(P<0.05);24 h SBPSD與h4/h1、Ad呈負相關(r = -0.264、-0.269,P<0.01);24 h SBPL與h3、h3/h1、h4/h1、W1、As、Ad呈負相關(r = -0.399、-0.380、-0.478、-0.385、-0.276、-0.428,P<0.01).結論:血壓變異性(BPV)影響瞭高血壓病的脈象構成.
목적:탐토고혈압병(EH)맥상삼수여혈압변이성(BPV)적상관성.방법:수집고혈압병130례적맥상삼수(DDMX-100맥상의)급24 h동태혈압수거,계산BPV.결과:편상관분석현시,조정년령、체중지수등영향인소후,24 h SBP여h3、h3/h1、h4/h1、W1、As、Ad정부상관,r분별-0.294、-0.327、-0.382、-0.348、-0.177、-0.289(P<0.05),이h5/h1여24 h SBP、24 h DBP정정상관,r분별위0.207、0.192(P<0.05);PP여h3、h3/h1、h4/h1、W1、As、Ad정부상관,r분별위-0.322、-0.373、-0.385、-0.323、-0.218、-0.274(P<0.05);24 h SBPSD여h4/h1、Ad정부상관(r = -0.264、-0.269,P<0.01);24 h SBPL여h3、h3/h1、h4/h1、W1、As、Ad정부상관(r = -0.399、-0.380、-0.478、-0.385、-0.276、-0.428,P<0.01).결론:혈압변이성(BPV)영향료고혈압병적맥상구성.
Objective: To study and explore the correlation between pulse parameters and blood pressure variability (BPV) in essential hypertension (EH).Methods: Data of Pulse parameters by DDMX-100 electropulsograph and 24-hour ambulatory blood pressures was collected from 130 cases,and blood pressure variability (BPV) was calculated accordingly.Results: Partial correlation analyses showed as follows: 24 hSBP (24 h mean systolic blood pressure) was negatively correlated with h3 (tide wave height),h3/h1(principal wave height),h4(dicrotic notch height)/h1,W1(pulse diagram width above 1/3h1),As (systole area) and Ad (diastole area) (respectively,r= -0.294,-0.327,-0.382,-0.348,-0.177,-0.289,P<0.05),while 24 hSBP,24 hDBP (24 h mean diastolic blood pressure) was positively correlated with h5 (repulse wave height) /h1 (respectively,r = 0.207,0.192,P<0.05).PP (Pulse pressure) was negatively correlated with h3,h3/h1,h4/h1,W1,As and Ad (respectively,r = -0.322,-0.373,-0.385,-0.323,-0.218,-0.274,P<0.05).24hSBPSD (24hSBP Standard deviation) was negatively correlated with h4/h1,As and Ad (respectively,r = -0.264,0.269,P<0.01).24hSBPL (24hSBP load) was negatively correlated with h3,h3/h1,h4/h1,W1,As,Ad (respectively,r = -0.399,-0.380,-0.478,-0.385,-0.276,-0.428,P<0.01).Conclusion: Blood pressure variability (BPV) leads to pulse variety of EH.
