老年高血压患者动态血压与心肌做功指数的关系分析  

Relationship between ambulatory blood pressure and myocardial performance index in elderly patients with hypertension

作　　者：张亮[1] 石增刚[1] 胡茜[1] ZHANG Liang SHI Zeng-gang HU Qian(Department of Cardiology, The Third People＇s Hospital of Bengbu, Bengbu Anhui 233000, Chin)

机构地区：[1]安徽省蚌埠市第三人民医院心内科,233000

出　　处：《蚌埠医学院学报》2016年第9期1149-1151,共3页Journal of Bengbu Medical College

摘　　要：目的：在初诊老年高血压患者中,探讨24 h动态血压与心肌做功指数（Tei指数）的关系。方法：选择100例初诊老年高血压患者,根据Tei指数分为Tei≥0.40组43例和Tei〈0.40组57例;对2组诊室血压、24 h动态血压以及超声心动图参数进行比较。结果：Tei≥0.40组24 h、日间、夜间平均收缩压（SBP）,24 h、日间平均舒张压（DBP）,24 h、日间、夜间SBP负荷,24 h、日间、夜间DBP负荷均高于Tei〈0.40组（P〈0.05~P〈0.01）,而2组平均诊室SBP和DBP差异均无统计学意义（P〉0.05）。结论：24 h动态血压水平可能与心脏整体功能相关。Objective：To investigate the relationship between 24 h ambulatory blood pressure and myocardial performance index（Tel index） in elderly patients with hypertension, nethods：A total of 100 outpatients with hypertension for the first diagnosis were divided into the Tel ≥0.40 group （ n = 43 ） and Tel 〈 0.40 group （ n = 57 ）. The parameters of blood pressure in consultation room, 24 h ambulatory blood pressure and echocardiography between two groups were compared. Results：The 24 h, daytime, nighttime average systolic blood pressure （SBP） and diastolic blood pressure （DBP）, and 24 h, daytime, nighttime systolic and diastolic blood loads in Tel ≥0.40 group were significantly higher than those in Tel 〈 0.40 group （P 〈 0.05 to P 〈 0.01 ）. The differences of the average systolic and diastolic blood pressures in consultation room between two groups were not statistically signifiant （ P 〉 0.05 ）. Conclusions： The level of 24 h ambulatory blood pressure is the related to the overall function of the heart.

关 键 词：高血压 动态血压 心肌做功指数 

分 类 号：R544.1[医药卫生—心血管疾病]