血压昼夜节律异常的原发性高血压心率变异分析  

Analysis of heart rate variability in primary hypertension patients with abnormal circadian blood pressure pattern

作　　者：秦培强 

机构地区：[1]新疆布尔津县人民医院,新疆布尔津836699

出　　处：《心血管病防治知识（学术版）》2015年第4期14-16,共3页Prevention and Treatment of Cardiovascular Disease

摘　　要：目的分析新疆阿勒泰地区布尔津县哈萨克族原发性高血压患者的心率变异结果 ,为原发性高血压的诊治提供科学依据。方法以哈萨克族原发性高血压患者为调查对象,应用24小时动态血压记录器和24小时动态心电图记录器,记录并使用计算机软件进行分析。结果总人数108例,根据血压昼夜节律是否异常分成两组,A组血压昼夜节律的表现为勺型,有51例,其中男36例,女15例,平均年龄(52±15)岁;B组表现为血压异常节律型,有57例,男39例,女18例,平均年龄(54±16)岁。心率变异各指标分析,B组比A组降低,P<0.05,其差异有统计学意义。结论哈萨克族原发性高血压患者可以出现自主神经功能障碍、血压昼夜节律异常、靶器官损害三种表现,三者之间有密切联系,检测心率变异是诊治原发性高血压的重要依据。Objective To analyze the test results of heart rate variability （HRV） in primary hypertension patients of Kazak nationality in Buerjin County, Ahay area, Xinjiang Uygur Autonomous Region, China, and to provide a scientific basis for the diagnosis and treatment of primary hypertension. Methods This study included primary hypertension patients of Kazak nationality. These patients were tested using the 24h ambulatory blood pressure recorder and 24h ambulatory electrocardiographic recorder, and the collected data were analyzed with software. Results Of all 108 subjects, 51 cases （group A） had a dipper pattern of circadian blood pressure, including 36 males and 15 females, with a mean age of （52±15） years, and 57 cases （group B） had an abnormal circadian blood pressure pattern, including 39 males and 18 females, with a mean age of （54±16） years. Group B had significantly lower values of HRV indices than group A （P 〈0.05）. Conclusion Primary hypertension patients of Kazak nationality may have manifestations of autonomic dysfunction, abnormal circadian blood pressure pattern, and target organ injury, which are closely related to each other. HRV test is an important basis for the diagnosis and treatment of primary hypertension.

关 键 词：哈萨克族 原发性高血压 心率变异 

分 类 号：R544.11[医药卫生—心血管疾病]