高血压合并冠心病患者动态血压与心电图的相关性研究

目的：对高血压合并冠。病患者的动态血压波动与ST—T改变、心律失常发生的相关性进行探讨和分析。方法：随机选取2012年6月至2015年4月来我院住院治疗的120例高血压和（或）冠。病患者，分为3组，单纯高血压患者40例，单纯冠G病患者40例以及单纯高血压合并冠心病患者40例，120例患者都同步监测24h动态血压（ABPM）和动态。电图（DCG），观察不同组血压波动与ST—T改变及。律失常的情况，并进行对照分析。结果：动态血压（ABPM）和动态G电图（DCG）监测后的平均值，高血压合并冠心病组的动态血压值明显高于其他两组，表明高血压合并冠心痛患者血压与其心电图ST-T改变及心律失常具有明显相关性。结论：ABPM与DCG同步检测有助于鉴别血压变化与。电活动的关系，对心血管疾病的诊断和预防、治疗具有积极的临床意义。

Objecttvein patients with hypertension combined coronary heart disease （CHD） and ST -t change of ambulatory blood pressure fluctuations, the relevance of ar- rhythnfias occurred were discussed and analyzed. Methods ： randomly selected from Iune 2012 to April 2015 to our hospital treatment of 120 patients with hypertension and （or） coronary heart disease （ CHD）, divided into 3 groups, 40 patients with simple hypertension, pure 40 patients with coronary heart disease （CHD） and 40 patients with simple hypertension with coronary heart disease, 120 patients were all synchronous 24 h ambulatory blood pressure monitoring （ABPM） and dynamic electrocardiogram （DCG）, to observe different groups of blood pressure fluctuation and ST - t change and arrhythmia, and comparison analysis. Results ： ambulatory blood pressure monitoring （ ABPM ） and dynamic electrocardiogram （ DCG）, the average dynamic blood pressure of hypertension with coronary heart disease group was obviously higher than that of other two groups, suggests that hypertension with bolted pain patientg blood pressure and electrocardiogram ST - t change and arrhythmia has significant correlation. Condusion： ABPM and DCG synchronous detection helps to identify the blood pressure changes and electrical activity, the relationship between the diagnosis of cardiovascular disease and the prevention and treatment of positive clinical significance.