原发性高血压患者心电图Tp-Te与血压控制效果的关系  

Relationship between electrocardiogram Tp-Te and blood pressure control in patients with essential hypertension

作　　者：李晴 刘玄长 LI Qing;LIU Xuanchang(Department of Cardiovascular Medicine,the Third Hospital of Wuhan,Wuhan,Hubei 430060,China)

机构地区：[1]武汉市第三医院心血管内科,湖北武汉430060

出　　处：《检验医学与临床》2024年第11期1548-1551,1557,共5页Laboratory Medicine and Clinic

基　　金：湖北省武汉市卫生健康委员会基金项目(WX19D22)。

摘　　要：目的探讨原发性高血压患者心电图T波峰末间期(Tp-Te)与血压控制效果的关系。方法选取2021年1-3月该院收治的221例原发性高血压患者作为研究对象,根据24 h动态血压监测结果将其分为达标组和未达标组。比较两组患者一般资料、心电图指标。采用多因素Logistic回归分析原发性高血压患者血压控制未达标的危险因素。结果达标组有53例患者,未达标组有168例患者。两组患者年龄、性别、高血压病程、高血压分级、降压治疗规范情况比较,差异均无统计学意义(P>0.05)。未达标组Ⅰ导联Tp-Te、Ⅰ导联校正的Tp-Te(Tp-Tec)短于达标组,V1导联Tp-Te、V1导联Tp-Tec长于达标组,V1导联Tp-Te/QT比值大于达标组,差异均有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,Ⅰ导联Tp-Te缩短、V1导联Tp-Te延长、V1导联Tp-Tec延长、V1导联Tp-Te/QT比值增大是原发性高血压患者血压控制未达标的危险因素(P<0.05)。结论Ⅰ导联Tp-Te缩短、V1导联Tp-Te延长、V1导联Tp-Tec延长、V1导联Tp-Te/QT比值增大是原发性高血压患者血压控制未达标的危险因素,可为研究原发性高血压心电重构与血压控制效果的关系提供新思路。Objective To investigate the relationship between T peak interval(Tp-Te)and blood pressure control in patients with essential hypertension.Methods A total of 221 patients with essential hypertension admitted to the hospital from January to March 2021 were selected as the research objects.According to the results of 24 h ambulatory blood pressure monitoring,they were divided into the standard group and the non-standard group.The general data and electrocardiogram indexes of the two groups were compared.Multivariate Logistic regression was used to analyze the risk factors of non-standard blood pressure control in patients with essential hypertension.Results There were 53 patients in the standard group and 168 patients in the non-standard group.There was no significant difference in age,gender,course of hypertension,hypertension grade and antihypertensive treatment between the two groups(P>0.05).The Tp-Te and corrected Tp-Te(Tp-Tec)of theⅠlead in non-standard group were shorter than those in the standard group,and the Tp-Te and Tp-Tec of the V1 lead in non-standard group were longer than those in the standard group,and the Tp-Te/QT ratio of the V1 lead in non-standard group was greater than that of the standard group,with statistical significance(P<0.05).Multivariate Logistic regression analysis showed that shortened Tp-Te of theⅠlead,prolonged Tp-Te of the V1 lead,prolonged Tp-Tec of the V1 lead,and increased Tp-Te/QT ratio of the V1 lead were risk factors for non-standard blood pressure control in patients with essential hypertension(P<0.05).Conclusion Shortened Tp-Te of theⅠlead,prolonged Tp-Te of the V1 lead,prolonged Tp-Tec of the V1 lead and increased Tp-Te/QT ratio of the V1 lead are risk factors for non-standard of blood pressure control in patients with essential hypertension,which can provide new ideas for studying the relationship between electrocardiogram remodeling and blood pressure control effect in essential hypertension.

关 键 词：高血压 心电描记术 原发性高血压 血压控制 心电重构 T波峰末间期 

分 类 号：R544.1[医药卫生—心血管疾病] R540.41[医药卫生—内科学]