2619例中老年高血压患者脉压与心电图异常的相关性  

The relationship between pulse pressure and ECG abnormality in middle-and-old-aged hypertensive patients

作　　者：藏贵明[1] 张昭馥[1] 王春[1] 曹悦鞍[1] 王苏苏[1] 毛丽华[1] 王洪瑛[1] 

机构地区：[1]海军总医院干三科,北京100037

出　　处：《海军医学杂志》2003年第4期317-320,共4页Journal of Navy Medicine

摘　　要：目的 :探讨中老年高血压患者脉压与心电图 (ECG)异常的关系。方法 :2 6 19例中老年人年度健康体检 ,测血压 ,检查心电图 ,并对其中 75 1例高血压患者进行分析。结果 :高血压病人群ECG异常率与非高血压人群比较有显著性差异 (P<0 .0 1) ;高血压人群中ECG异常者脉压差大于ECG正常者 ,具有统计学意义 (P <0 .0 5 ) ;不同脉压水平 ,随着脉压差的增加ECG异常率、收缩压相应增加 (P <0 .0 1) ,舒张压增加不明显 ;随着年龄的增加 ,收缩压增高 ,舒张压降低 ,脉压差增大 ,ECG异常率逐渐增加 (P <0 .0 1)。结论 :高血压人群脉压与ECG改变相关 。Objective: To explore the relationship between pulse pressure and electrocardiogram (ECG) abnormality in essential middle-and-old-aged hypertensive patients. Methods: A sampling survey of blood pressure and electrocardiographic examination were performed among 2 619 middle-and-old-aged subjects and 751 essential hypertensive patients were analyzed. Results: The ratio of ECG abnormality in the hypertension group was higher than that of the normal group (P<0.05); the pulse pressure in the abnormal ECG group was higher than that in the normal ECG group; the prevalence of ECG abnormality increased with increasing pulse pressure (P<0.05); with age increasing, the level of SBP, pulse pressure and the ratio of ECG abnormality increased, but DBP decreased. Conclusion: Pulse pressure in essential hypertensive patients was related to ECG abnormality. Therefore, pulse pressure should be an important index in evaluating hypertension risk and the blood-pressure-decreasing effect.

关 键 词：高血压 脉压 心电图 中老年人 ECG 诊断 

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