摘要
目的:探讨高血压病患者动态血压与左心室舒张功能的关系。方法:应用无创动态血压监测系统及彩色多普勒超声心动描记技术对76例老年高血压病患者(高血压组)和20例老年健康体检志愿者(对照组)进行检测,并对检测结果进行分析。结果:①高血压组患者发现有收缩功能不全者11例,占14·5%;舒张功能下降者41例,占53·9%;②根据二尖瓣血流A峰速度(A)与E峰速度(E)的大小分组,A>E组患者的白天、夜间及24h平均收缩压均高于A<E组(P<0·05),具有统计学意义;③经多元回归分析,发现A/E值与年龄、24h平均收缩压(SBP)呈正相关,回归方程:A/E=-2·308+0·02504×年龄+0·01546×24hSBP,确定系数R2=0·66,而与各时段平均舒张压无关。结论:老年高血压病患者左心室舒张功能不全的指标A/E比值与年龄及平均收缩压水平呈正相关。
Objective：To investigate the relation between 24-hour blood pressure（BP） and its different phase with left ventricular diastolic function in the patients with essential hypertension. Methods： 76 elderly patients with essential hypertension and 20 healthy senior citizens were studied by Ambulatory BP Recording and Doppler Echocardiography. Results： ① 11 patients , accounting for 14.5% ,in this study were suffered from systolic dysfunction. Impaired diastolic dysfunction was found in 41 patients ,accounting for 53.9%.② In group A〉E , 24-hour average systolic blood pressure （SBP） and night-time SBP and daytime SBP were higher than those of the group A〈E （ P〈0.05 ）; ③ In a multivariate model, only age （ β=0. 02504,P= 0. 003 ） was correlated positively to the ratio A/E in the senior citizens. Conclusion： Left ventricular diastolic function is positively related to 24-hour SBP and age in the elderly patients with essential hypertension.
出处
《河北北方学院学报（医学版）》
2005年第4期14-17,共4页
Journal of Hebei North University:Medical Edition
关键词
高血压病
左心室功能
动态血压
超声心动描记技术
Essential Hypertension
Left Ventricular Function
Ambulatory bood pressure
Echocardiography
