动态心电图、动态血压在原发性高血压和肾性高血压患者中的应用(1)
【摘要】 目的：探究動态心电图、动态血压在原发性高血压和肾性高血压患者中的应用效果。方法：从2016年3月-2018年3月笔者所在医院收治的肾性高血压与原发性高血压患者中选取90例作为研究对象，其中肾性高血压患者45例作为观察组，原发性高血压患者45例作为对照组。动态血压监测患者白昼及夜间的收缩压、舒张压变化情况;动态心电图监测患者ST段压改变、心律失常发生情况和各项心率变异性指标。结果：观察组白昼收缩压与舒张压均略高于对照组，两组比较差异无统计学意义(P>0.05)，而夜间观察组收缩压与舒张压明显高于对照组，两组比较差异有统计学意义(P<0.05);观察组ST-T段压低和心律失常发生率均多于对照组，两组比较差异有统计学意义(P<0.05);两组各项心率变异性指标中SDNN和SDNN index比较差异有统计学意义(P<0.05)，而其他各项指标与平均心率情况比较差异无统计学意义(P>0.05)。结论：肾性高血压患者血压的调节功能失常，心率变异性减低，心律失常发生率较高。
【关键词】 动态血压; 动态心电图; 肾性高血压; 原发性高血压
doi：10.14033/j.cnki.cfmr.2019.24.032 文献标识码 B 文章编号 1674-6805(2019)24-00-03
【Abstract】 Objective：To explore the application effect of dynamic electrocardiogram and dynamic blood pressure in patients with essential hypertension and renal hypertension.Method：From March 2016 to March 2018，90 patients with renal hypertension and essential hypertension were enrolled in our hospital.Among them，45 patients with renal hypertension were treated as the observation group.Forty-five patients with essential hypertension were included as the control group.Dynamic blood pressure was used to monitor the changes of systolic blood pressure and diastolic blood pressure in patients with daytime and nighttime，ST-segment pressure changes，arrhythmia and various heart rate variability indexes were monitored by dynamic electrocardiogram.Result：The daytime systolic blood pressure and diastolic blood pressure of the observation group were slightly higher than those of the control group.There were no significant difference between the two groups(P>0.05).The nighttime systolic blood pressure and diastolic blood pressure in the observation group were significantly higher than those in the control group.There were statistical significance(P<0.05).The rate of ST-T depression and arrhythmia in the observation group were higher than those in the control group.The differences between the two groups were statistically significant(P<0.05).There were statistically significant differences in the differences between SDNN and SDNN index in the variability index in two groups(P<0.05).But there were no significant differences between the other indicators and the average heart rate in two groups(P>0.05).Conclusion：Patients with renal hypertension have abnormal blood pressure regulation，decreased heart rate variability，and high incidence of arrhythmia.
【Key words】 Ambulatory blood pressure; Dynamic electrocardiogram; Renal hypertension; Essential hypertension, 百拇医药(单成花)
【关键词】 动态血压; 动态心电图; 肾性高血压; 原发性高血压
doi：10.14033/j.cnki.cfmr.2019.24.032 文献标识码 B 文章编号 1674-6805(2019)24-00-03
【Abstract】 Objective：To explore the application effect of dynamic electrocardiogram and dynamic blood pressure in patients with essential hypertension and renal hypertension.Method：From March 2016 to March 2018，90 patients with renal hypertension and essential hypertension were enrolled in our hospital.Among them，45 patients with renal hypertension were treated as the observation group.Forty-five patients with essential hypertension were included as the control group.Dynamic blood pressure was used to monitor the changes of systolic blood pressure and diastolic blood pressure in patients with daytime and nighttime，ST-segment pressure changes，arrhythmia and various heart rate variability indexes were monitored by dynamic electrocardiogram.Result：The daytime systolic blood pressure and diastolic blood pressure of the observation group were slightly higher than those of the control group.There were no significant difference between the two groups(P>0.05).The nighttime systolic blood pressure and diastolic blood pressure in the observation group were significantly higher than those in the control group.There were statistical significance(P<0.05).The rate of ST-T depression and arrhythmia in the observation group were higher than those in the control group.The differences between the two groups were statistically significant(P<0.05).There were statistically significant differences in the differences between SDNN and SDNN index in the variability index in two groups(P<0.05).But there were no significant differences between the other indicators and the average heart rate in two groups(P>0.05).Conclusion：Patients with renal hypertension have abnormal blood pressure regulation，decreased heart rate variability，and high incidence of arrhythmia.
【Key words】 Ambulatory blood pressure; Dynamic electrocardiogram; Renal hypertension; Essential hypertension, 百拇医药(单成花)