老年人左室肥厚与动态血压各参数的相关分析  

The Relationship between Left Ventricular Hypertrophy and All Parameter of Ambulatory Blood Pressure in the Elderly

作　　者：陈美燕[1] 陈兵[1] 陈德伟[1] 肖建敏[1] 林小冰[1] 

机构地区：[1]福建省立医院

出　　处：《福建医药杂志》1998年第4期5-6,共2页Fujian Medical Journal

摘　　要：本文报道５０例老年人高血压病动态血压监测资料和动态心电图检查结果以分析动态血压与左室肥厚（ＬＶＨ）的关系。结果表明ＳＢＰ（２４小时，白昼，夜间）与ＬＶＨ呈显著正相关（ｒ分别为０．７０，０．５８，０．７０），而ＤＢＰ仅为弱相关（分别为０．３２，０．３３，０．２５），表明ＳＢＰ升高是老年人高血压左室肥厚的重要因素，而ＤＢＰ升高也起着一定的影响，血压负荷值（ＳＢＰ，ＤＢＰ）与ＬＶＨ呈正相关（分别为０．４７，０．２８），夜间血压下降率（ＳＢＰ，ＤＢＰ）与ＬＶＨ呈负相关（分别为－０．４７，－０．３１）。说明老年人高血压的治疗不仅要控制血压水平。The relationship between ambulatory blood pressure(ABP) and LVH was investigated in 50 consecutive subjects by 24 hour noninvasive ABP monitoring and 2D echocardiography.The result showed that systolic blood pressure(SBP)(24 hour.daytime.nighttime)and LVMI have significant relationship(r=0 70,0 58,0 70 respectively),while diastolic blood pressure(DBP)have only weak relationship(r=0 32,0 33,0 25).Furthermore,load ratio of blood pressure(SBP,DBP)and LVMI also have significantl correlated(r=0 47,0 28).Significant inverse correlations were found reduction of SBP and DBP(r=-0 47,-0 31)at nighttime.The results suggest that the treatmented of hight blood pressure in the elderly must not only control the level of blood presesure,but also recover the rule between daytime and nighttime of blood pressure.

关 键 词：老年人 左室肥厚 动态血压 动态心电图 

分 类 号：R544.106[医药卫生—心血管疾病] R541.304[医药卫生—内科学]