排序方式: 共有9条查询结果,搜索用时 296 毫秒
1
1.
目的 探讨糖尿病心肌病(DC)患者心率震荡(HRT)的变化及其临床意义.方法 对DC患者33例及对照组30例进行24h动态心电图检查,分别计算震荡初始(TO)和震荡斜率(TS),比较两组患者TO及TS均值,并对TO、TS与24h正常窦性心律RR间期的标准差(SDNN)及左室舒张末内径(LEVDD)进行相关性分析.结果 DC组的TO值高于对照组[(-0.38±0.12)%与(-1.88±0.13)%;t=7.38,P=0.01],TS值低于对照组[(2.02±0.82)ms/R-R与(9.72±1.18)ms/R-R;t=18.69,P=0.02];TO与SDNN及LEVDD有相关性(r=-0.35,P=0.02;r =0.68,P=0.01),TS亦与SDNN及LEVDD有相关性(r=0.45,P=0.01;r=-0.39,P=0.03).结论 DC患者HRT现象明显受损. 相似文献
2.
目的:探讨辛伐他汀对C-反应蛋白CRP诱导的人外周血单核细胞抵抗素mRNA和蛋白表达的影响。方法:分离培养人外周血单核细胞,分别与不同浓度的辛伐他汀(0.1,1,10μmmol/L)预孵育2 h,再与25μg/mL CRP共同培养24 h,分别用实时定量PCR和ELISA方法检测单核细胞抵抗素mRNA表达及细胞培养液中抵抗素的浓度。结果:辛伐他汀呈剂量依赖性地抑制CRP诱导的抵抗素mRNA和蛋白表达。结论:辛伐他汀可显著抑制CRP诱导的抵抗素的表达,提示CRP和抵抗素可能参与动脉粥样硬化(As)的进展,他汀类药物可能通过调节CRP诱导的抵抗素过度表达发挥其抗As作用。 相似文献
3.
目的 探讨心力衰竭患者心率震荡(HRT)的变化及其与心力衰竭严重程度的相关性.方法 对心力衰竭患者(83例)及对照组患者(36例)进行24 h动态心电图检查,分别计算震荡初始(TO)和震荡斜率(TS),比较2组患者TO及TS均值;并比较不同心力衰竭严重程度及心功能分级下的HRT.结果 心力衰竭组的TO值高于对照组[(-0.31±-0.17)%与(-1.63±-0.23)%,P<0.01)],TS值低于对照组[(2.24±1.42)ms/R-R与(8.73±3.68)ms/R-R,P<0.001)];在心力衰竭组,存在肢端水肿、颈静脉怒张、肺淤血、心胸比增大、左心室射血分数降低、心腔扩大、心率增快和心率变异异常的患者,其TO值明显升高,TS值明显降低(P均<0.05);按照纽约心脏病学会心功能分级标准,分级水平越高,TO值越高、而TS值越低.结论 慢性心力衰竭患者心率震荡现象明显受损;心率震荡的减弱与心力衰竭严重程度密切相关. 相似文献
4.
原发性高血压左室肥厚与窦性心律震荡关系 总被引:1,自引:0,他引:1
目的探讨原发性高血压患者左室肥厚与窦性心率震荡(HRT)的关系。方法 143例原发性高血压患者根据超声心动图测定的左室重量指数(LVMI)分为左室肥厚组及单纯高血压组,46例同期体检健康者作为对照组。分别计算HRT和心率变异性(HRV)各项指标,比较各组间上述指标差异,并分析震荡初始(TO)、震荡斜率(TS)与LVMI之间的关系。结果与对照组比较,左室肥厚组及单纯高血压组均显示TO升高、TS降低,左室肥厚组变化明显(P均〈0.05)。TO与LVMI呈负相关(r=-0.387,P=0.015),TS与LVMI呈正相关(r=0.626,P=0.01)。结论原发性高血压患者体内自主神经功能失衡,交感与副交感神经的双重损害参与了高血压的左室重构机制,且其损害程度可能伴随左室重构过程而加重。 相似文献
5.
目的 探讨不同类型原发性高血压患者窦性心率震荡(HRT)的特点,评估窦性HRT指标对原发性高血压患者心脏自主神经功能损害的价值.方法 107例原发性高血压患者(高血压组)和46例健康体检者(健康对照组)均接受24 h动态心电图(Holter)检查,根据血压昼夜节律特点将高血压组分为杓型高血压组38例、非杓型高血压组53例及反杓型高血压组16例,分别比较各组HRT和心率变异性(HRV)各项指标,并分析震荡初始(TO)、震荡斜率(TS)与24 h平均收缩压、舒张压等指标之间的关系.结果 高血压组TO、TS、窦性RR间期标准差(SDNN)与健康对照组比较,差异均有统计学意义(P<0.05).非杓型高血压组及反杓型高血压组TO明显高于健康对照组(P<0.05),TS则明显低于健康对照组(P<0.05);而杓型高血压组TO、TS与健康对照组比较差异均无统计学意义(P>0.05).同时非杓型高血压组和反杓型高血压组的TO明显高于杓型高血压组,TS则明显低于杓型高血压组,差异均有统计学意义(P<0.05).相关性分析显示,TO与平均心率和年龄呈正相关(Spearman等级相关系数=0.265,P=0.004;Spearman等级相关系数=0.217,P=0.018),与SDNN和左室射血分数(LVEF)呈负相关(Spearman等级相关系数=-0.287,P=0.002;Spearman等级相关系数=-0.179,P=0.049).TS与平均心率和年龄呈负相关(r=-0.335,P=0.015;r=-0.238,P=0.009),而与SDNN和LVEF呈正相关(r=0.540,P=0.001;r=0.432,P=0.001).结论 在原发性高血压患者中,血压昼夜节律异常者窦性HRT减弱或消失,提示窦性HRT在评估原发性高血压患者心脏自主神经功能损害方面有一定价值.Abstract: Objective To explore sinus heart rate turbulence (HRT) in patients with different subtypes of essential hypertension (EH), and analyze the relationship between HRT and autonomic nervous system function damage in these patients. Methods The study consisted of 107 patients with EH (EH group) and 46 controls (control group). Based on 24 hours dynamic electrocardiogram, all patients were divided into dipper,non-dipper,and anti-dipper blood pressure group. The indexes about HRT and heart rate variability (HRV) among these groups were calculated and compared,and the relationship between turbulence onset (TO),turbulence slope (TS) and 24 hours mean systolic blood pressure,diastolic blood pressure was analyzed. Results There were significant differences in TO,TS,SDNN between EH group and control group(P < 0.05 ). TO in non-dipper and anti-dipper blood pressure group was significantly higher than that in control group( P < 0.05 ), and TS was lower than that in control group(P < 0.05 ). There was no significant difference in TO,TS between dipper blood pressure group and control group (P > 0.05). TO in non-dipper and anti-dipper blood pressure group was significantly higher than that in dipper blood pressure group, but TS was lower than that in dipper blood pressure group (P <0.05). Correlation analysis showed that TO had positive relationship with average heart rate and age (rs = 0.265, P = 0.004;rs = 0.217, P = 0.018 ), but had negative correlation with SDNN and left ventricular ejection fraction (LVEF) (rx = -0.287,P = 0.002;rx =-0. 179, P = 0.049). Whereas, TS had negative correlation with average heart rate and age (r = -0.335, P =0.015 ;r = -0.238,P= 0.009), but had positive relationship with SDNN and LVEF(r = 0.540,P = 0.001 ;r =0.432,P = 0.001 ). Conclusions HRT of EH patients becomes significantly low. It suggests that the autonomic nerve function in EH patients be injured seriously. 相似文献
6.
目的 探讨慢性心力衰竭(心衰)患者心率震荡(HRT)及血清糖类抗原125(CA125)水平的变化及其临床意义.方法 对心衰患者82例及对照组36例进行24h动态心电图、超声心动检查及CA125测定,比较2组患者震荡初始(TO)、震荡斜率(TS)及CA125水平的差异,比较不同心功能分级下的TO、TS值及CA125水平并分析TO、TS及CA125与LVEF的相关性.结果 心衰组的TO值高于对照组[(-0.31±0.07)%比(-1.31±0.13)%],TS值低于对照组[(2.05±0.21) ms/R-R间期比(7.76±1.86) ms/R-R间期],CA125高于对照组[(80.2±9.8) U/ml比(21.3±5.3) U/ml,均P<0.05];按照纽约心脏病学会心功能分级标准,分级水平越高,TO值越高、TS值越低、CA125水平越高;TO、TS及CA125与LVEF显著相关.结论 慢性心力衰竭患者心率震荡现象明显受损,CA125表达明显增多,并与心力衰竭的严重程度相关. 相似文献
7.
8.
9.
1