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|本期目录/Table of Contents|

高血压患者248例心脏结构和功能的分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2006年第2期
页码:
216-218
栏目:
临床研究
出版日期:
2006-03-01

文章信息/Info

Title:
Cardiac structure and function analysis in 248 hypertensives
作者:
宋宁; 李继红; 徐秀英
首都医科大学附属天坛医院心内科，北京 100050
Author(s):
SONG Ning;  LI Ji-hong;  XU Xiuying
Department of Cardiology,Tiantan Hospital, Capital University of Medical Sciences,Beijing 100050, China
关键词:
高血压; 原发性; 心室功能; 心脏结构; 超声心动描记术
Keywords:
hypertension; primary;  ventricular function;  cardiac structure;  echocardiography
分类号:
R544.1
DOI:
-
文献标识码:
A
摘要:
目的 对248例并发其他心血管疾病的高血压病患者的心脏结构和功能进行分析。方法 通过填表的方式将患者的临床资料收集起来，结合超声心动图结果，运用SPSS11.5软件统计包对数据进行处理。结果 在这248例患者中，左房增大占48.4%,左室增大占19.4%,二者同时增大占12.9%,室间隔增厚占28.2%; 舒张功能减退患者占58.4％，收缩功能减退患者占14.5%；心脏舒张与(或)收缩功能减退者与心功能正常者相比，左房、左室有明显增大；高血压病史≥1年的患者其心脏结构异常及舒张功能减退的发生率明显高于病史<1年的患者；血压达标患者与未达标患者相比，后者心脏结构及功能的异常发生率高于前者。结论 高血压患者出现左房、左室增大，室间隔增厚的心脏结构改变，并伴有一定程度的心脏功能下降，高血压病程及达标与否对高血压患者的心脏结构和功能是有影响的。
Abstract:
AIM To analyze cardiac structures and functions in patients with hypertension complicated with other cardiovascular diseases. METHODS Clinical data of 248 hypertensive patients collected with their consent, together with the results of echocardiography, were carefully analyzed with SPSS11.5 statistical software. RESULTS The internal diameter of left atrium (LA) significantly increased in 48.4% of all the patients, the left ventricular end diastolic diameter (LVEDD) increased in 19.4% and both of them increased in 12.9%. Septal hypertrophy was founded in 28.2%. Those with the decreased left ventricular diastolic function accounted for 58.4% and those with decreased systolic function 14.5%. The hearts of patients with cardiac dysfunction were significantly larger compared with those with normal heart function in terms of the internal diameter of LA and LVEDD. Patients with more than one year history of hypertension had greater changes in cardiac structures and diastolic function than those with less than one year. In the patients with abnormal blood pressure, IVSD was significantly thickened and the diastolic function was weakened. CONCLUSION Hypertensive patients have enlarged LA, thickened IVSD and hypertrophy with decreased cardiac function. The history of hypertension and abnormal blood pressure affect the cardiac structures and functions.

参考文献/References

［1］游小钧，邓琼珍. 高血压病患者左室舒张功能的研究［J］. 临床超声医学杂志，2004,6(3):150-151.

［2］高敬,华琦. 超声心动图评价高血压患者心脏结构及功能的改变［J］. 中国医学影像技术,2003,19（9）：1134-1136.

［3］王晓瑛，俞锋. 氯沙坦对高血压并发肾功能损害及左室肥厚的影响［J］. 心脏杂志，2004，16(3)：291-292.

［4］朱向明,章辉,王新房，等. 高血压患者左房构形超声新表达指标的变化［J］. 高血压杂志. 2002,10(4):323-325.

［5］De Simone G,Greco R,Mureddu G, et al. Ralation of left ventricular diastolic properties to systolic function in arterial hypertension［J］.Circulation,2000,101(2):152-157.

［6］Chobanian AV,Bakris GL,Black HR,et al. The Seventh Report of the Joint National Committee on prevention,detection,evalution,and treatment of high bellod pressure:the JNC 7 report［J］. JAMA,2003, 289(19)：2560-2572.

备注/Memo

备注/Memo:
收稿日期：2004-11-10.作者简介：宋宁，硕士生 Email:sn_2001@163.com
更新日期/Last Update: