动态血压与持续心电图监测在肾性高血压患者中的应用

Blood Pressure and Continuous Electrocardiographic Monitoring in Patients with Renal Hypertension

目的:探讨肾性高血压患者中动态血压与持续心电图监测的内在联系。方法:选择53例肾性高血压患者,并与53例原发性高血压患者进行比较,进行动态血压和持续心电图监测,并分析患者血压与心电图之间的关系。结果:观察组共发现心律失常49例,ST-T段压低23例,心律失常和ST-T段压低发生率均高于对照组(P<0.05),观察组夜间收缩压和舒张压均高于对照组(P<0.05),患者ST-T段压与舒张压和收缩压水平成负相关,心律失常次数与舒张压和收缩压成正相关。结论:肾性高血压患者血压的昼夜调节功能失常,心电图的改变与患者血压值存在相关性。

Objective：To investigate the relations ambulatory blood pressure and continuous ECG monitoring of patients with renal hypertension.Method：53 patients with renal hypertension and 53 patients with essential hypertension,compared to ambulatory blood pressure and continuous ECG monitoring then analysed the relationship between blood pressure and electrocardiogram.Result：Arrhythmia in the observation group was 49 cases,ST-T segment depression was 23 cases,arrhythmia and ST-T segment depression were higher incidence（P〈0.05）,night time systolic and diastolic blood pressure in the observation group were higher than the control group（P〈0.05）,ST-T segment in patients with diastolic and systolic blood pressure was negative correlation,arrhythmias and systolic and diastolic blood pressure were positively correlated.Conclusion：Patients with renal hypertension circadian blood pressure regulation dysfunction,it is correlated in ECG changes and blood pressure values.