摘要
目的探讨24 h动态心电图、动态血压监测对高血压性心脏病的诊断价值。方法随机选取该院2013年1月—2015年1月收治的120例高血压患者的临床资料,根据超声心动图结果是否伴有左心室肥厚分为观察组与对照组,观察组为左心室肥厚者共62例,对照组为左心室非肥厚者共58例,两组患者均进行24 h动态心电图机24 h动态血压监测,比较两组血压、心律失常、心肌缺血发生情况。结果观察组24 h平均血压、白昼平均血压、夜间平均血压均明显高于对照组,差异有统计学意义(P<0.05);观察组复杂性室上性心律失常、室性心律失常、复杂性室性心律失常、心肌缺血发生率明显高于对照组,两组比较差异有统计学意义(P<0.05)。结论左心室肥厚的高血压患者其心律失常、心肌缺血发生率较非左心室肥厚高血压患者高,采用24 h动态心电图、动态血压监测能够更加准确的反应患者的情况,为更好地诊断提供依据。
Objective To investigate the diagnostic value of 24 h dynamic ECG, ambulatory blood pressure monitoring in diagnosis of hypertensive heart disease. Methods The clinical data of 120 cases patients with hypertension in our hospital from January2013 to January 2015, and were divided into the observation group and the control group according to the ultrasonic Beckoning results with left ventricular hypertrophy, 62 cases were left ventricular hypertrophy in the observation group, 58 cases were not left ventricular hypertrophy in the control group, 24 h ambulatory blood pressure monitoring was performed in two groups of patients,the two groups of blood pressure, arrhythmia and myocardial ischemia were observed. Results In the observation group, the 24 h average blood pressure, daytime average blood pressure, average blood pressure at night were significantly higher than the control group respectively, the difference was statistically significant（P〈0.05）; the complex supraventricular arrhythmias, ventricular arrhythmia and myocardial ischemia of the observation group was respectively significantly higher than that in control group, the two groups was statistically significance（P〈0.05）. Conclusion The incidence rate of the arrhythmia and myocardial ischemia of hypertensive patients with left ventricular hypertrophy was higher than without left ventricular hypertrophy of hypertensive patients. 24 h dynamic ECG and ambulatory blood pressure monitoring can accurately reflect the patient＇s situation, and provide the basis for better diagnosis.
出处
《中外医疗》
2015年第22期179-180,共2页
China & Foreign Medical Treatment
关键词
动态心电图
动态血压
高血压
左心室肥厚
Dynamic electrocardiogram
Ambulatory blood pressure
Hypertension
Left ventricular hypertrophy
