原发性高血压合并颈椎病患者倾斜后血压和心率的变化  

The change of blood pressure and heart rate in patients of essential hypertension combined with cervical spondylosis in head-up tilt

作　　者：乔怀宇[1] 黄国明[1] 

机构地区：[1]解放军第九四医院心内科,南昌330002

出　　处：《中国综合临床》2010年第6期589-591,共3页Clinical Medicine of China

摘　　要：目的 探讨原发性高血压（EH）合并颈椎病患者头高位倾斜后血压和心率的变化及可能机制.方法 EH 49例,根据临床症状,运用X光机、颈椎CT或MRI和椎动脉彩超等检查方法,确诊合并颈椎病23例（合并颈椎病组）,不合并颈椎病患者26例（单纯EH组）,测定2组患者血压、血脂、血糖,并测定头高位倾斜后的血压、心率.结果 合并颈椎痛组和单纯EH组头高位倾斜后血压变化差异有统计学意义[4（-21～14）mm Hg与-9（-27～-3）mm Hg,H=25.44,P〈0.01],心率变化差异有统计学意义[2（-1-14）次/min与5（-2～11）次/min,H=9.30,P〈0.01].结论 合并颈椎病患者头高位倾斜后血压不下降与交感神经兴奋可能有关.Objective To investigate the change of blood pressure and heart rate in patients of essential hypertension combined with cervical spondylosis in head-up tilt and its potential mechanism. Methods The hypertensive patients were divided into cervical spondylosis group（23 cases） and without cervical spondylosis group （26 cases） by clinical symptom and X-ray machine,CT.MRI and color ultrasonography,then their blood pressure, blood glucose and lipid were measured,and the changes of blood pressure and heart rate were obtained in head-up tilt. Results There was significant difference of blood pressure change between the hypertensive with and without cervical spondylosis（4（-21 ～ 14 mm Hg v. s. -9（-27～-3）mm Hg,P〈0. 01）,and there was also difference of heart rate change between the hypertensive with and without cervical spondylosis（2（-1 ～14） bpm v. s. 5（-2 ～11） bpm, P 〈 0. 01）. Conclusions There is no decline in blood pressure in the hypertensive with cervical spondylosis in head-up tilt and this might be due to the exciting of sympathetic nerve.

关 键 词：原发性高血压 颈椎病 头高位倾斜 血压 心率 

分 类 号：R544.1[医药卫生—心血管疾病]