老年高血压病患者平滑指数对阵发性心房颤动的影响

发布时间：2018-03-13 08:39

本文选题：老年　切入点：高血压　出处：《临床心血管病杂志》2017年08期 　论文类型：期刊论文

【摘要】：目的:探讨老年高血压病患者平滑指数与阵发性房颤(PAF)的相关性。方法:选取老年高血压病患者214例,根据有无PAF病史分为PAF组(71例)和窦性心律组(143例)。所有患者进行动态血压和超声心动图监测,观察血压变异性指标及心脏超声指标并进行组间比较和相关性分析。结果:PAF组患者的年龄、高血压病程、左房前后径、左室后壁均高于窦性心律组(均P0.05),而三酰甘油和平滑指数均低于窦性心律组(均P0.05)。多元线性逐步回归分析提示,左房前后径、左室后壁、平滑指数与PAF存在独立相关性,其中平滑指数的相关性最强(t=3.173,P=0.006)。结论:平滑指数与PAF有独立相关性,是评价老年高血压病患者PAF发生最简便的敏感指标。
[Abstract]:Objective: to investigate the correlation between smoothness index and paroxysmal atrial fibrillation (PAF) in elderly patients with hypertension. According to the history of PAF, the patients were divided into PAF group (71 cases) and sinus rhythm group (143 cases). All the patients were monitored by ambulatory blood pressure and echocardiography. Blood pressure variability and echocardiography were observed and compared with each other. Results the age, the course of hypertension, the anterior and posterior diameter of left atrium were measured in the group of 10% PAF. The posterior wall of left ventricle was higher than that of sinus rhythm group (P 0.05), while triglyceride and smoothness index were lower than those in sinus rhythm group (P 0.05). Multiple linear stepwise regression analysis showed that there was an independent correlation between left atrial anterior diameter, left ventricular posterior wall, smoothness index and PAF. The correlation of smoothing index is the strongest among them. Conclusion: the smoothness index has an independent correlation with PAF and is the most simple and sensitive index to evaluate the occurrence of PAF in elderly patients with hypertension.
【作者单位】：广州市第十二人民医院心血管内科;青岛市胶州中心医院;
【分类号】：R541.75;R544.1

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