高血压左室重构与动态血压关系的临床观察

为探讨高血压病左室重构与动态血压的关系 ,对 43 1例门诊初诊高血压病患者均进行动态血压检查。依据左室构型将高血压病患者分为 4组 :分别为正常左室构型组、向心性重构组、向心性肥厚组、离心性肥厚组。对 4组的动态血压各项指标进行方差分析。结果表明收缩压各项指标各组间均有统计学差异。舒张压指标中仅夜间舒张压向心性肥厚与离心性肥厚组较正常构型和向心性重构组为高 ,其余舒张压指标无统计学差异。提示 :收缩压指标是高血压左室构型改变的重要危险因素。

Relation Between Left Ventricular Remolding in Patients with Essential Hypertension and Ambulatory Blood Pressure Monitoring

The aim was to explore the relationship between left ventricular remolding (LVR) and indexes of ambulatory blood pressure monitoring in patients with essential hypertension. 431 patients with essential hypertension were divided into 4 groups based on Ganau criteria. Ambulatory blood pressure monitoring underwent in all patients. The indexes of ambulatory blood pressure monitoring were determined with the use of analysis of F statistics among 4 groups. There were differences in the indexes of systolic pressure among groups. However, the indexes of diastolic pressure except diastolic pressure at night were similar in all groups. Indexes of systolic pressure of ambulatory blood pressure monitoring are crisis factors in left ventricular remolding.