老年高血压患者动态血压与心肌做功指数的关系分析

张亮; 石增刚; 胡茜

doi:10.13898/j.cnki.issn.1000-2200.2016.09.010

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

摘要

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。

Abstract: Objective: To investigate the relationship between 24 h ambulatory blood pressure and myocardial performance index(Tei index) in elderly patients with hypertension.Methods: A total of 100 outpatients with hypertension for the first diagnosis were divided into the Tei ≥0.40 group(n=43) and Tei <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 Tei ≥0.40 group were significantly higher than those in Tei <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.

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