摘要
目的:探讨原发性高血压患者动态血压(ABPM)变化与动态心电图(DCG)发生异常改变之间的关系。方法:收集2017年1月-8月中心门诊就诊的原发性高血压患者96例,同步监测ABPM和DCG,观察患者24 h动态血压昼夜节律、脉压改变、心律失常及ST-T改变情况。结果:96例患者中,昼夜节律正常28例(29.2%),其中心率失常2例,ST-T改变5例;昼夜节律紊乱68例(70.8%),其中心率失常58例,ST-T改变53例。昼夜节律紊乱组中心率失常和ST-T改变发生例数均高于昼夜节律正常组(<0.05)。96例患者中,脉压<50 mm Hg者38例(39.5%),其中心率失常3例,ST-T改变2例;脉压≥50 mm Hg 58例(60.5%),其中心率失常50例,ST-T改变49例。脉压≥50 mm Hg组中,心率失常和ST-T改变发生例数均高于<50 mm Hg组(P<0.05)。86例(89.6%)患者的心律失常和58例(60.4%)患者的ST-T改变发生在清晨及06:00~10:00。结论 :在社区开展ABPM和DCG同步监测,对高血压患者的诊治具有重要的临床价值。
Objective： To investigate the relationship between ambulatory blood pressure changes （ABPM） and abnormal changes of dynamic electrocardiogram （DCG） in patients with essential hypertension （EH）. Methods： From January to August 2017 96 cases of patients with EH in the outpatient clinic were collected. The ABPM and DCG were simultaneously monitored to observe the circadian rhythms, pulse pressure changes, arrhythmia and ST-T changes of 24 h ABPM. Results： Among 96 patients, circadian rhythm was normal in 28 cases（29.2%）, including 2 cases of arrhythmia and 5 cases of ST-T changes. There were 68 cases（70.8%） of circadian rhythm disorders, including 58 cases of arrhythmia and 53 cases of ST-T changes. The incidence of central rate disorders and ST-T changes in the circadian rhythm disorder group were higher than those in the normal circadian rhythm group（〈0.05）. Among the 96 patients, 38 cases（39.5%） had pulse pressure 〈 50 mmHg, including 3 cases of arrhythmia and 2 cases of ST-T changes. Pulse pressure was ≥ 50 mmHg in 58 cases（60.5%）, including 50 cases of arrhythmia and 49 cases of ST-T changes. The incidences of arrhythmia and ST-T changes in the pulse pressure ≥ 50 mmHg group were higher than those in blood pressure 〈 50 mmHg group（P〈0.05）. Eighty-six cases（89.6%） of arrhythmia and 58 cases（60.4%） of ST-T changes occurred in the early morning and 06：00-10：00. Conclusion： The simultaneous monitoring of ABPM and DCG in the community has the important clinical value in the diagnosis and treatment of hypertension.
出处
《上海医药》
CAS
2018年第2期18-20,共3页
Shanghai Medical & Pharmaceutical Journal
关键词
高血压
动态心电图
动态血压
心律失常
心肌缺血
hypertension
dynamic electrocardiogram
ambulatory blood pressure
arrhythmia
myocardial ischemia
