高血压病伴左心室肥厚的血液流变学观察──附89例报告

Oberving hemorrheology in hypertension with left ventricular hypertrophy: 89 cases report.

目的：探讨高血压病伴左心室肥厚患者的血液流变学改变及其临床意义。方法：将高血压病伴左心室肥厚患者８９例作为Ａ组；单纯高血压不伴左心室肥厚患者８８例作为Ｂ组，检测两组的血液流变学变化并将结果加以比较。结果：Ａ组的血黏度、红细胞压积、红细胞沉降率显著高于Ｂ组（Ｐ＜０．０１，Ｐ＜０．０１， Ｐ＜０．０５）。结论：高血压患者的血黏度增高是其形成左心室肥厚的重要影响因素。对高血压病患者除予积极降压外，还应给予适当的降低血黏度治疗。

Objective: To study the hemorrheology of hypertension with left ventricular hypertrophy. Methods: The hypertension with left ventricular hypertrophy (89 cases) were regarded as A group. Hypertensive patients without left ventricular hypertrophy (88 cases) were classified as B group. Hemorrheology were tested. Results: There were significant difference in blood viscosity, hemotocrit and erythrocyte sedimentation rate between two groups (p<0.01, p<0.01, P<0.05). Conclusion: A rising of blood viscosity in hypertensive patients is a important effective factor to form left ventricular hypertrophy. The patients suffering hypertension should be treated by reducing blood viscosity besides lowering blood pressure aggressively.