动态血压监测参数血压负荷、曲线下面积与左室肥厚的关系  

Relation Between Blood Pressure Load Area Under the Curve and Left Ventricular Hypertrophy

作　　者：嵇平[1] 

机构地区：[1]东南大学附属南京江北人民医院功能科,江苏南京210048

出　　处：《高血压杂志》2003年第4期337-339,共3页Chinese Journal of Hypertension

摘　　要：目的　研究高血压患者动态血压监测参数 :血压负荷、曲线下面积与左室肥厚的关系。对象　 75例高血压病人 ,男性 51例 ,女性 2 4例 ,平均年龄 63± 8(46～ 74)岁。方法　动态血压测定 2 4h血压 ,超声心动图测定室间隔、左室后壁厚度 ,左室舒张末直径并按Devereux校正公式计算左心室重量指数 (LVMI)。结果　多元逐步回归分析显示 :收缩压、收缩压负荷 ,收缩压曲线下面积值以及夜间的舒张压、舒张压负荷、舒张压曲线下面积与LVMI有关 (P <0 0 1 )。结论　曲线下面积能较好地反映动脉血压的变化与左心室肥厚的关系。Objective To evaluate the relation between the parameters of the ambulatory blood pressure monitoring(ABPM): blood pressure load(BPL),area under the curve(AUC) and left ventricular hypertrophy in the hypertensive patients Method Seventy five essential hypertensive patients were enrolled The blood pressures were measured with ambulatory blood pressure monitoring and the left ventricular mass index(LVMI) were measured with echocardiography Results SBP, systolic blood pressure load, SBP AUC, night DBP, night DBP load, night DBP AUC are correlated with LVMI( P <0 01) Conclusion Area under the curve can better reflect the relation between the arterial blood pressure and left ventricular hypertrophy in the hypertensive patients

关 键 词：高血压 动态血压监测 血压负荷 曲线下面积 左室心肌重量指数 

分 类 号：R544.1[医药卫生—心血管疾病]