老年高血压患者脉压和心电图变化

Changes of Pulse Pressure and Electrocardiogram in the Eldetly with High Blood Pressure

目的:分析老年高血压患者脉压(PP)与心电图变化。方法:对291名老年高血压患者进行基本信息调查,并进行血压与心电图的测量,分析不同PP患者血压现状和心电图异常的差异。结果:在老年高血压患者中,1期高血压所占比例最大,为68.73%,86.95%的高血压患者PP值偏高,1期和2期高血压患者中,PP在41～60mmHg者所占比例最高,3期高血压患者中,PP>61mmHg者所占比例最高,且明显高于1期和2期高血压患者,差异均有统计学意义(P<0.05或P<0.01)。PP≥61mmHg组患者各种心电图异常率均高于PP≤40mmHg组(心律失常除外)和PP在40～60mmHg组(左室高电压除外),差异有统计学意义(P<0.05或P<0.01)。结论:高血压患者PP值普遍偏高,PP增加可加重心电图异常发生率,监测PP并行有效干预有助于预防心血管事件的发生。

Objective: To explore the relationship between pulse pressure(PP) and ECG for the elderly with high blood pressure. Method: The current situation and relationship were analysed by the basic information of the investigation, and blood pressure and electrocardiogram in 291 elderly with high blood pressure were measured. Results: Hypertension accounted for 68.73% of the total population hypertension in elderly patients with high blood pressure,PP for the most hypertension patients was high, accounted for 86.59%. The difference of PP and high blood pressure were significant(P<0.05 or P<0.01).With the increase of PP,ECG abnormal rate was increased. Conclusion: PP of the most hypertension patients is high.There is a close contact in PP and ECG, especially the PP is an important factor in cardiovascular disease. PP monitoring and effective intervention con be helpful to prevent the occurrence of cardiovascular events.