夜间收缩压与体质量指数对高血压患者新发房颤的预测价值

发布时间：2018-08-09 13:18

【摘要】：观察夜间收缩压与体质量指数对高血压患者新发房颤的预测价值。通过对2013年3月~2016年3月在笔者所在医院治疗的279例高血压患者临床资料进行分析,分为新发房颤组和窦性心律组,采用Logistic回归及受试者工作特征(ROC)曲线分析夜间收缩压和体质量指数与高血压患者新发房颤的关系。夜间收缩压升高、肥胖为高血压患者新发房颤的危险因素。多因素Logistic回归显示夜间收缩压升高与体质量指数均可以独立预测高血压患者房颤的发生。体质量指数判定发生房颤的ROC曲线下面积要高于夜间收缩压,将二者联合的ROC曲线下面积均高于各自的预测值(P均0.05)。夜间血压升高、肥胖为导致新发房颤的危险因素。故应积极采取相关措施,控制夜间血压,控制体质量,这样可有效防止房颤的发生。
[Abstract]:To observe the predictive value of nocturnal systolic blood pressure and body mass index for new atrial fibrillation in hypertensive patients. From March 2013 to March 2016, 279 patients with hypertension treated in our hospital were analyzed and divided into two groups: new atrial fibrillation group and sinus rhythm group. The relationship between nocturnal systolic blood pressure (SBP) and body mass index (BMI) and atrial fibrillation (AF) in patients with hypertension was analyzed by Logistic regression and (ROC) curve. Elevated nocturnal systolic blood pressure and obesity were risk factors for new atrial fibrillation in patients with hypertension. Multivariate Logistic regression showed that both nocturnal systolic blood pressure and body mass index could independently predict the occurrence of atrial fibrillation in hypertensive patients. The area under ROC curve was higher than that of nocturnal systolic blood pressure in judging atrial fibrillation by body mass index, and the area under ROC curve combined with both was higher than that of each other (P 0.05). Elevated blood pressure at night and obesity are risk factors for new atrial fibrillation. Therefore, we should take active measures to control nocturnal blood pressure and body mass, which can effectively prevent atrial fibrillation.
【作者单位】：锦州医科大学附属第一医院心内科;
【分类号】：R541.75;R544.1

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