动态血压变异性与高血压性左室肥厚的关系  

Relationbetweenambulatorybloodpressurevariabilityandhypertension┐relatedleftventricularhy-pertrophy

作　　者：谭学瑞[1,2] 叶复来 杜旭[1,2] 黄文德[1,2] 

机构地区：[1]西安医科大学第二临床学院 [2]华中理工大学

出　　处：《中华心血管病杂志》1996年第4期266-268,共3页Chinese Journal of Cardiology

摘　　要：我们研究了３７例高血压病患者的左室重量指数（ＬＶＭＩ）及其与动态血压变异性（ＡＢＰＶ）的关系，１３例年龄相当、血压正常的健康者作对照组。结果显示：高血压病组ＬＶＭＩ显著大于对照组，提示高血压病组存在左室肥厚（ＬＶＨ）。相关分析的结果显示：高血压病组的ＬＶＭＩ主要与动态血压各项参数平均值（ＡＢＰ）呈显著正相关，与收缩期２４小时及昼间ＡＢＰＶ呈显著负相关，表明ＬＶＨ与ＡＢＰＶ的关系较与ＡＢＰ的关系为弱。Leftventricularmasindex(LVMI)andtherelationbetweenambulatorybloodpres-surevariability(ABPV)andLVMIwerestudiedin37casesofesentialhypertension.Thirteenage-matchednormotensiveswerestudiedascontrolgroup(CG).TheresultsshowedthatLVMIinthepatient′sgroup(PG)wasgreaterthanthatinCGsignificantly,whichsuggeststhatthereisleftven-tricularhypertrophy(LVH)inPG.TheresultsderivedfromthecorrelationanalysisshowedthatLVMIcorelatedpositivelytotheaveragelevelsofambulatorybloodpresure(ABP)andcorrelatednegativelytothesystolicABPVthroughthe24-hourintervalandduringthedaytime.Thustherela-tionbetweenLVHandABPVwasweakerthanthatbetweenLVHandtheaveragelevelsofABP.

关 键 词：高血压 血压测定 左室肥厚 

分 类 号：R544.102[医药卫生—心血管疾病]