摘要
目的 研究合肥地区中年干部血压水平及其与临床心电图诊断类型的关系。方法 对合肥地区 5 314名中年干部进行体检 ,计算不同性别的血压分类及高血压患病率 ,分析不同血压水平的临床心电图表现。结果 合肥地区中年干部男性 :正常高限血压占 12 % ,高血压病占 2 9% ;女性 :正常高限血压占8 3% ,高血压病占 17 8%。高血压患病率男性显著高于女性 (P <0 0 1)。随着血压升高 ,临床心电图异常分类如窦性心动过速、室性早搏、束支传导阻滞、ST T变化、左室高电压、左室肥厚等的检出率显著升高。结论 随着血压升高 ,临床心电图异常发生率显著升高。
Objective To evaluate the relation between blood pressure level with clinical electrocardiogram(ECG) findings.Methods A cross sectional examination was performed in 5314 middle aged cadres from Hefei.Hypertension prevalence and relationships of blood pressure classification to clinical ECG findings were analyzed.Results The proprotions of high normal blood pressure and hypertension for male were 12% and 29% respectively,as compared with 8.3% and 17.8% for female(P<0.01).With the increase of blood pressure,the findings of abnormal ECG such as sinus tachy cardia,premature ventricular arrhythmia,bundle branch block,ST T changes,high voltage of left ventricular and left ventricular hypertrophy increased remarkably.Conclusion There are statistically significant difference of abnormal clinical ECG finding among different blood pressure classifications.Abnormal ECG findings,especially ventricular abnormal ECG finding,increase with the increase of blood pressure.
