中国高血压患者心率现状调查  

The current status of heart rate in Chinese hypertensive patients

作　　者：孙宁玲[1] 霍勇[2] 黄峻[3] 

机构地区：[1]北京大学人民医院心脏中心,北京100044 [2]北京大学第一医院心脏中心 [3]南京医科大学第一附属医院心内科

出　　处：《中华高血压杂志》2015年第10期934-939,共6页Chinese Journal of Hypertension

摘　　要：目的 分析我国高血压及伴冠状动脉粥样硬化性心脏病（冠心病）或心力衰竭患者的静息心率和用β受体阻滞剂的现状。方法 2014年4月至9月采用横断面调查方法对全国21城市136家医院心内科就诊的高血压患者按顺序入组,进行问卷及血压、心率测量。共调查167 119例患者,进入分析的高血压患者115 229例。其中单纯高血压86 676例,高血压伴冠心病26 661例,高血压伴心力衰竭1892例,有心房颤动及心血管病但无高血压的19 523例和伴糖尿病的32 367例患者均未纳入分析。血压与心率的测量以坐位静息为准,其数据的收集采用中国国家食品药品监督管理总局（CFDA）认证的联想A1100PAD连接iHealth BP5蓝牙电子血压表。结果 我国高血压患者的静息平均心率为76.6次/min,高血压患者心率的主要分布区间在70~79次/min,在单纯高血压患者中心率≥70次/min者占72.7%,心率≥80次/min占38.2%。与〈60岁的高血压患者比较,≥80岁患者的收缩压增高,舒张压下降,心率减慢（均P〈0.01）。伴冠心病及心力衰竭患者的平均心率分别为（76.4±12.5）及（75.5±13.2）次/min。高血压人群中β受体阻滞剂使用率为36.9%,未用者心率偏快[（79.3±11.2）比（77.7±11.2）次/min,P〈0.01]。单纯高血压患者β受体阻滞剂的使用率明显低于伴冠心病及心力衰竭患者（27.6%比65.7%、56.7%,P〈0.01）。结论 本调查显示我国高血压患者普遍心率偏快,依据相关指南中目标心率的标准,合并冠心病或心力衰竭的高血压患者的心率控制仍不满意,β受体阻滞剂在高血压患者中的使用欠充分。Objective To investigate the resting heart rates of hypertensive patients with or without coronary heart disease or heart failure （HR）, and analyze the usage of beta blockers in Chinese hypertensive patients. Methods With cross-sectional survey method, from April to September in 2014, a total of 167 119 hypertensive pa- tients were enrolled in, on their visiting order to the cardiology department in 136 hospitals of 21 cities. Patients were investigated with a questionnaire, whose blood pressure （BP） and HR were measured. Data acquired from 115 229 hypertensive patients were analyzed. These patients were divided into three groups, of which 86 676 cases were uncomplicated hypertension, 26 661 cases complicated with coronary heart disease and 1892 cases complicated with heart failure. There were 19 523 cases complicated with diabetes mellitus and 32 367 normal blood pressure patients with atrial fibrillation and cardiovascular disease not included in this analysis. The BP and HR were meas ured by PAD （Lenovo Al100） connected with a blue tooth electronic sphygmomanometer （iHealth BP5） in sitting position. Results The average resting HR of all patients was 76.6 beats/min with a range mainly between 70 and 79 beats/min. The percentages of uncomplicated hypertensive patients with HR above 70 beats/min or above 80 beats/min were 72.7% and 38.2% respectively. Compared with patients younger than 60 years old, in patients elder than eighty years old, the systolic BP was higher, diastolic BP and HR were lower （all P〈0.01 ）. The average HR in patients with coronary heart disease or heart failure were （76.4±12.5） or （75.5±13.2）beats/min.The usage rate of beta blockers in all patients was 36.9%. The HR in patients without taking beta blockers were faster than those taking beta blockers [（79.3 ± 11.2} vs （77.7± 11.2） beats/rain, P〈0.01]. The usage rates of beta blockers in uncomplicated hypertensive patients were significantly lower than those with coronary heart disease or heart failur

关 键 词：高血压 心率 血压 Β受体阻滞剂 

分 类 号：R544.1[医药卫生—心血管疾病]