检测窦性心率震荡对诊断2型糖尿病患者隐性高血压效果的临床研究  

Clinical Effect Study of Heart Rate Turbulence Diagnosis of Type 2 Diabetic Patients with Masked Hypertension

作　　者：黄兴清 胡莉华[2] 许勇[1] 杨丽[1] 陈晖[1] 段晨阳[3] 

机构地区：[1]四川省德阳市第二人民医院心内科,四川德阳618000 [2]解放军第二炮兵总医院心内科,北京100088 [3]解放军第三军医大学临床医学系,重庆400038

出　　处：《现代生物医学进展》2014年第21期4106-4108,4133,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(30901575)

摘　　要：目的:研究窦性心率震荡诊断2型糖尿病合并隐性高血压患者的临床效果。方法:对2009年12月至2013年4月我院心内科收治的2型糖尿病合并高血压患者123例进行回顾性分析,根据诊室内手测血压及24 h动态血压监测结果将患者分为高血压组(EH组)及隐性高血压组(MH)组,另取在我院体检的诊室及24小时动态血压均正常者为NT组,三组研究对象均进行诊室内手测血压,24 h动态血压监测及HRT检测,比较三组检测结果。结果:(1)诊室内手测血压结果显示MH组收缩压及舒张压与NT组差异无统计学意义(P>0.05);EH组收缩压及舒张压与NT组比较差异具有统计学意义(P<0.05)。(2)24 h动态血压监测结果显示MH组及EH组收缩压与舒张压与NT组比较差异均具有统计学意义(P<0.05)。(3)HRT检测结果显示MH组及EH组TO值与TS值与NT组比较差异均具有统计学意义(P<0.05)。结论:HRT检测结果可作为诊断2型糖尿病患者隐性高血压的一项可靠指标。Objective： To research the clinical effect of heart rate turbulence diagnosis for the patients with type 2 diabetes and hypertension. Methods： 123 patients with type 2 diabetic and hypertension in our hospital from May 2009 to August 2012 were analyzed retrospectively. All patients were divided into hypertension group （EH group） and masked hypertension group （MH group） by the blood pressure value measured in clinic and 24 h ambulatory monitoring. And the NT group was the people with normal blood pressure who were received physical examination in our hospital. The three groups were received blood pressure measure in clinical, 24h ambulatory monitoring and HRT detection. Results were compared. Results： （1） The results of blood pressure measure in clinic showed that the sys -tolic blood pressure and the diastolic blood pressure of MH group had no significant difference with NT group＇s（P〉0.05） and the systolic blood pressure and the diastolic blood pressure of EH group had significant difference with NT group＇s （P〉0.05）. （2）The results of 24h ambulatory monitoring showed that the systolic blood pressure and the diastolic blood pressure of EH group and MH group had significant difference with NT group＇s（P〉0.05）. （3） The results of HRT detection showed that TO and TS value of EH group and MH group had significant difference with NT group＇s（P〉0.05）. Conclusion： The results of HRT detection can be a reliable indicator in masked hyperten- sion diagnosis of patients with type 2 diabetic.

关 键 词：2型糖尿病 隐性高血压 HRT 诊断指标 

分 类 号：R587.2[医药卫生—内分泌]