原发性高血压患者静息心率的变化及临床意义  

Changes of resting heart rate in patients with essential hypertension and its clinical significance

作　　者：王淑斐[1] 许金成[2] 赖建斌[2] 刘喜林[2] 梁庆祥[2] 

机构地区：[1]南方医科大学附属深圳宝安医院防保科,广东省深圳市518101 [2]南方医科大学附属深圳宝安医院心内科,广东省深圳市518101

出　　处：《中国综合临床》2008年第5期454-455,共2页Clinical Medicine of China

摘　　要：目的探讨静息心率（RHR）与原发性高血压（EH）的关系及临床意义。方法选择215例EH患者进行RHR测定，以82例健康人作比较，分析RHR与EH及其病情程度的关系。结果EH组RHR显著高于正常组[（78．9±9．1）次／min vs（69．5±10．9）次／min，P〈0．01）]；不同分级的EH患者间RHR差异显著（F=21．280，P〈0．01），且随着高血压分级的增加而增快（P〈0．05，P〈0．01）；合并左心室肥厚（LVH）的EH患者RHR显著高于无左心室肥厚者[（83．9±9．1）次／min vs（75．9±8．9）次／min，P〈0．01]，相关分析显示LVH与RHR呈显著正相关（r=0．8097，P〈0．01）。结论RHR与高血压的发生与发展有一定关系，可作为评估EH病情的指标之一。Objective To study the relationship between resting heart rate （RHR） and essential hypertension （ EH ）. Methods 215 patients with EH and 82 healthy subjects underwent RHR detection. The relationship between RHR and the state of EH was analyzed. Results RHR in EH group was significantly higher than that in norreal group[ （78.9 ±9.1 ） bpm vs （69. 5 ± 10. 9） bpm,P 〈0.01 ） ] ,RHR in different stages of EH was significantly different （ F = 21. 280, P 〈 0.01, respectively ）, and increased with grades （ P 〈 0.05 or P 〈 0.01 ）. RHR in EH patients complicated with left ventricle hypertrophy （LVH） was higher than those with no LVH[ （ 83.9 ± 9.1 ） bpm vs （ 75.9 ± 8.9 ） bpm ,P 〈 0.01 ]. There was positive correlation between RHR and LVH （ r = 0.8097 ,P 〈 0.01 ）. Conclusion RHR is related to the development and progress of EH, and it may be one of the index for estimating the state of EH.

关 键 词：原发性高血压 左心室肥厚 静息心率 

分 类 号：R544.1[医药卫生—心血管疾病]