摘要
目的探讨ＡＢＰ与左室后壁厚度（ＬＶＰＷＴ），室间膈厚度（ＩＶＳＴ）及主动脉内径（ＡＯＤ）之间的联系。方法对８８例原发性高血压患者应用超声心动图及动态血压计同时测定其ＬＶＰＷＴ、ＩＶＳＴ、ＡＯＤ及动态血压各参数值。结果左室肥厚（ＬＶＰＷＴ或／和ＩＶＳ）者５０例，主动脉根扩张者６０例。相关分析显示ＬＶＰＷＴ、ＬＶＳＴ及ＡＯＤ、动态血压各参数平均值呈显著正相关（Ｐ＜０．０５），其中与２４ｈ平均收缩压、最高收缩压及夜间平均收缩压相关最密切（Ｐ＜０．０１），此外ＬＶＰＷＴ，ＩＶＳＴ及ＡＯＤ与２４ｈ最高收缩压与最低收缩压之差（ΔＡＢＰｓ）及２４ｈ最高舒张压与最低舒张压之差（ΔＡＢＰｓ）亦呈正相关（Ｐ＜０．０５），其中与ΔＡＢＰｓ相比更密切（Ｐ＜０．０１）。结论血压波动性是左室肥厚及主动脉根内径的影响因素。
Aim\ To investigate the relatioship between left ventricular hypertrophy(LVH), aortic dimension(AOD) and ambulatory blood pressure(ABP) in patients with essental hypertension.\ Methods\ Ambulatory blood pressure monitoring and M mode, two dimensional echocardiography were performed in 88 cases with essental hypertension.\ Results\ 50 cases of them had left ventricular hypertrophy.\ 60 cases of them had echocardiography aortic enlarge. Correlation anlaysis showed that left ventricular hypertrophy and aortic dimension correlate positively to the average levels of ABP(P<0 05), ambulatory blood pressure variability(P<0 05), average levels of 24 h ABPs,night ABPs and higest ABPs(P<0 01).
出处
《高血压杂志》
CSCD
1997年第3期208-209,共2页
Chinese Journal of Hypertension
关键词
高血压
动态血压
左室肥厚
血压波动性
hypertension
ambulatory blood pressure
left ventricular hypertrophy
blood pressure variability
