非杓型心率与冠心病的关系  

Study on Relationship between Non-dipper Heart Rate and Coronary Artery Disease

作　　者：张鹏娟[1,2] 陈艳梅[1] 程伟伟[1,2] 吕明芳[1,2] 姚依群[1] 

机构地区：[1]北京军区总医院,北京100700 [2]山西医科大学,太原031000

出　　处：《医学综述》2011年第7期1103-1105,共3页Medical Recapitulate

摘　　要：目的回顾性分析非杓型心率与冠状动脉病变的关系。方法 240例行冠状动脉造影术患者按24 h动态心电图分为两组,即杓型组和非杓型组,分析两组患者冠状动脉病变。结果非杓型心率组冠状动脉造影阳性者明显高于杓型心率组,差异有统计学意义(χ2=154.18,P<0.01)。结论冠心病患者治疗状态下,要关注心率昼夜变化调节的同步治疗,能够在保障心肌血流灌注的同时调节心率的节律变化,进一步控制冠状动脉病变程度的加重及心血管事件的发生率。Objective To study the influence of the phenomenon of non-dipper heart rate with coronary artery disease,and provide a reference for clinical treatment.Methods 240 patients who underwent coronary angiography were divided into two groups：dipper group and non-dipper group by 24-hour Holter,analyzed the relationship between non-dipper heart rate and coronary artery disease.Results Compared to dipper group,the patients with coronary artery disease of non-dipper group were much higher（χ2=154.18,P0.01）.Conclusions To patients with coronary heart disease,it must be pay attention to management the circadian changes of heart rate,and to ensure the myocardial blood flow perfusion and regulate the rhythm of heart rate,and to control the severity of coronary artery disease and the incidence of cardiovascular events.

关 键 词：心率 非杓型心率 昼夜节律变化 冠状动脉病变 

分 类 号：R541.4[医药卫生—心血管疾病] R540.41[医药卫生—内科学]