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不同类型原发性高血压患者心脏构型改变的超声心动图观察及临床意义

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摘要 目的探讨不同类型高血压病对心脏构型改变的影响及其临床意义。方法对215例受检者的心脏进行超声心动图观察,其中原发性高血压组161例,包括单纯收缩压增高组(ISH)21例,单纯舒张压增高组(DSH)28例;收缩压和舒张压均增高组(BSDH)112例;并将BSDH组依24h动态血压监测按收缩压和舒张压增高次数的百分比分为收缩压大于舒张压(D<S)亚组58例;舒张压大于收缩压亚组(S<D)54例,正常对照组54例。采用二维及M型超声技术,测量主动脉根部及左心房内径大小。结果通过观察,各型高血压组主动脉根部内径及左房内径均高于对照组(P<0.01),主动脉根部内径在DSH组中最大,左心房内径值在ISH组中最大,在BSDH组次之,IDH组又次之,但无统计学意义(P>0.05);D>S、S>D两个亚组比较,左房大小两者差异无统计学意义;主动脉根部内径、收缩压有统计学意义。结论不同类型的高血压患者其心脏构型改变不同。
作者 叶攀 丁萍2
出处 《淮海医药》 2005年第6期470-471,共2页 Journal of Huaihai Medicine
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