动态动脉硬化指数与老年高血压患者心律失常的相关性研究.docVIP

动态动脉硬化指数与老年高血压患者心律失常的相关性研究 　　摘要：目的 分析动态动脉硬化指数（AASI）以及老年高血?夯颊咝穆墒СＡ秸呒浯嬖诘墓叵怠７椒? 将148例老年高血压患者根据（AASI）的差异分为对照组（低值组）及观察组（高值组），每组74例，以0.49为中位数，前者的AASI均不超过0.49，后者的AASI均大于0.49，针对两组患者的动态血压变化和心律失常状况等进行实时观察并详细记录。结果 观察组24h SBP值和24h PP值均明显比对照组高（P0.05）；观察组24h DBP明显比对照组低（P0.05）；观察组室性期前收缩率、复杂性室性心律失常率以及房性期前收缩率等均比对照组高（P0.05）。结论 针对老年高血压患者，其动态动脉硬化指数的升高会增加其心律失常发生风险。 　　关键词：动态动脉硬化指数；心律失常；高血压 　　Relationship between Ambulatory Arterial Stiffness Index and Cardiac Arrhythmia in Elderly Patients with Hypertension 　　PAN Xiao-lan，GAO Li，LI Wen-jing，TANG Dan 　　（Renshou County Second Peoples Hospital，Meishan 620500，Sichuan，China） 　　Abstract：Objective To analyze dynamic arterial stiffness index（AASI）and the relation between the arrhythmia in elderly patients with high blood pressure.Methods 148 cases of elderly patients with high blood pressure，according to the different（AASI）in control group were set up group（undervalued）and observation group（high value），74 cases in each group，with 0.49 for the median，the former of AASI are not more than 0.49，and the latter AASI were greater than 0.49，in view of the two groups of patients with dynamic changes in blood pressure and arrhythmia in the real-time observation and record in detail.Results 24 hSBP value and 24 hPP observation group were significantly higher than control group（P0.05）；24 hDBP observation group was obviously lower than the control group（P0.05）；Observation group reduction before sexual period，complexity of ventricular arrhythmia reduction rate and room before are higher than the control group（P0.05）.Conclusion In elderly patients with high blood pressure，the increase of the dynamic index of atherosclerosis increases their risk of arrhythmia occurrence. 　　Key words：Dynamic index of atherosclerosis；Cardiac arrhythmias；High blood pressure 　　1 资料与方法 　　1.1一般资料 选择2014年9月～2015年9月本院148例老年高血压患者作为研究对象，根据（AASI）的差异分别设置对照组（低值组）及观察组（高值组），每组74例，以0.49为中位数，对照组的AASI均不超过0.49，观察组的AASI均大于0.49。对照组，男34例，女40例；年龄68～82岁。观察组，男40例，女34例；年龄69～83岁。患者均接受相关临床检查，