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高血压患者的静息心率与家庭自测血压变异及糖脂代谢紊乱的关系
引用本文:俞家旺,汪秀莲,赵韧,丁伟,沈伟,王邦宁. 高血压患者的静息心率与家庭自测血压变异及糖脂代谢紊乱的关系[J]. 中国临床保健杂志, 2017, 20(1): 7-10
作者姓名:俞家旺  汪秀莲  赵韧  丁伟  沈伟  王邦宁
作者单位:;1.安徽医科大学第一附属医院心血管内科
基金项目:安徽省自然科学基金(1508085QH164)
摘    要:目的探讨高血压患者静息心率与家庭自测血压变异及糖脂代谢紊乱的关系。方法对入选的高血压患者按静息心率(RHR)的快慢分为三组:RHR65次/分钟为A组(48例),65≤RHR80次/分钟为B组(56例),RHR≥80次/分钟为C组(52例),指导每位患者进行家庭血压自测并记录于统一表格中,同时均进行总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、空腹血糖(FPG)、体质量指数(BMI)的测定。结果 C组早间收缩压均值,收缩压、舒张压变异大于A组和B组;B组和C组早间舒张压均值大于A组,C组晚间收缩压、舒张压均值低于A和B组,差异均有统计学意义(P0.05)。高血压患者不同静息心率与家庭自测收缩压变异、舒张压变异、TC、TG、LDL-C、FPG、BMI呈正相关(r分别为0.655、0.694、0.613、0.787、0.682、0.526、0.688,P0.05),与HDL-C呈负相关(r=-0.649,P0.05),随着静息心率增快,合并不同代谢异常的人数也增多。结论高血压患者静息心率与家庭自测血压变异和糖脂代谢紊乱密切相关。

关 键 词:高血压  心率  脂代谢障碍  葡萄糖代谢障碍
收稿时间:2016-05-09

Correlation of resting heart rate with home blood pressure variability and glucose- lipid metabolism disorder in hypertensive patients
Yu Jiawang,Wang Xiulian,Zhao Ren,Ding Wei,Shen Wei and Wang Bangning. Correlation of resting heart rate with home blood pressure variability and glucose- lipid metabolism disorder in hypertensive patients[J]. Chinese Journal of Clinical Healthcare, 2017, 20(1): 7-10
Authors:Yu Jiawang  Wang Xiulian  Zhao Ren  Ding Wei  Shen Wei  Wang Bangning
Affiliation:Department of Cardiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China,Department of Cardiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China,Department of Cardiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China,Department of Cardiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China,Department of Cardiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China and Department of Cardiology,the First Affiliated Hospital of Anhui Medical University,Hefei 230022,China
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