动态血压与诊室血压在更年期高血压患者左室舒张功能障碍评估中的比较

发布时间：2018-05-21 18:44

本文选题：更年期高血压 + 更年期综合征　；参考：《广东医学》2017年S1期

【摘要】：目的评价更年期高血压患者动态血压及诊室血压水平与左心室功能障碍的关系。方法收集65例更年期高血压妇女作为更年期组,60例更年期健康妇女作为对照组。通过超声心动图检查,分析两组患者左室收缩和舒张功能的特点;分别评估不同水平诊室血压及动态血压与更年期高血压患者左心室舒张功障碍的关系。结果反映更年期组患者舒张功能的指标左心室后壁厚(LVPW)、室间隔厚度(IVS)、左房前后径(LA)及E'/A'值明显高于对照组,差异有统计学意义(P0.05)。24 h平均血压中重度升高的更年期高血压患者(收缩压160mm Hg或舒张压100 mm Hg)比平均血压轻度增高(收缩压140~160 mm Hg或舒张压100 mm Hg)的患者LVPW、IVS、LA更大,E'/A'值更小(P0.05)。而诊室血压水平中重度升高的更年期高血压患者与诊室血压轻度升高患者相比,E'/A'比值更小(P0.05),但LVPW、IVST均差异无统计学意义(P0.05)。结论更年期高血压患者心脏损害以舒张功能减退明显;24 h平均收缩压及舒张压比诊室血压水平更能预测更年期高血压患者左心室舒张功能障碍的程度。
[Abstract]:Objective to evaluate the relationship between left ventricular dysfunction and ambulatory blood pressure and room blood pressure in climacteric hypertensive patients. Methods 65 climacteric hypertensive women as climacteric group and 60 climacteric healthy women as control group. The characteristics of left ventricular systolic and diastolic function were analyzed by echocardiography, and the relationship between left ventricular diastolic dysfunction and left ventricular diastolic dysfunction in patients with climacteric hypertension was evaluated. Results the index of diastolic function in climacteric group was left ventricular posterior wall thickness (LVPWN), interventricular septal thickness (IVSV), left atrial anterior and posterior diameter (LAA), and E / A 'values were significantly higher than those in control group. The difference was statistically significant in climacteric hypertension patients (systolic 160mm Hg or diastolic blood pressure 100mm Hg) with moderate and severe elevation of mean blood pressure at 24 h (P 0.05) than that in patients with mild increase in mean blood pressure (systolic blood pressure 140 ~ 160 mm Hg or diastolic pressure 100 mm Hg). However, there was no significant difference in IVST between the patients with moderate and severe elevation of blood pressure in the room and the patients with mild elevation of blood pressure in the room compared with the patients with mild elevation of blood pressure in the diagnosis room (P 0.05), but there was no significant difference in IVST between LVPWN and the patients with mild elevation of blood pressure in the diagnosis room (P 0.05). Conclusion Cardiac damage in climacteric hypertension patients with impaired diastolic function can predict the degree of left ventricular diastolic dysfunction in patients with climacteric hypertension.
【作者单位】：江门市新会区人民医院心血管内科;
【分类号】：R544.1

【相似文献】