老年原发性高血压患者血流动力学指标变化与临床分析 - 中国循环杂志.pdf

中国循环杂志 2014 年 7 月 第 29 卷 第 7 期（总第 193 期）Chinese Circulation Journal，July，2014，Vol. 29 No.7（Serial No.193） 517 临床研究 老年原发性高血压患者血流动力学指标变化与临床分析 武若君，白秉学，孙沛，陈昕，李秦，李彬，王亚真 摘要 目的：了解老年原发性高血压患者血流动力学指标的变化。 方法：180 例原发性高血压患者与 100 例排除心血管疾病者对照，用 Bioz. com 数字化无创血流动力学监测系统记 录血流动力学数据。 结果：所测定的老年原发性高血压患者的血流动力学指标经统计学处理，心排血量、心脏指数、胸腔液体水平、 外周血管阻力、外周血管阻力指数与对照组比较差异均有统计学意义 ( P 均 0. 05)。 结论：老年原发性高血压患者的血流动力学已受到影响，表现为一定程度的潜在心脏功能受损。血流动力学指标 的变化对临床诊断、治疗有指导意义。 关键词 老年；原发性高血压；血流动力学 Clinical Analysis of Hemodynamic Changes in Aged Patients With Essential Hypertension WU Ruo-jun, BAI Bing-xue, SUN Pei, CHEN Xin, LI Qin, LI Bin, WANG Ya-zhen. Department of Geriatric Cardiology, the 309th Hospital of PLA, Beijing (100091), China Corresponding Author: WU Ruo-jun, Email: wruojun@ Abstract Objective: To explore the hemodynamic changes in aged patients with essential hypertension (EH). Methods: Our research included 2 groups, EH group, n =180 patients and Control group, n =100 subjects without cardiovascular diseases. The relevant indexes were recorded and compared by BioZ.com noninvasive hemodynamic monitor between 2 groups. Results: With statistic processing, the cardiac output/index (CO/CI), cardiac index, thoracic fluid content (TFC), systemic vascular resistance/index (SVR/SVRI) were significantly different between EH group and Control group, all P 0.05. Conclusion: The hemodynamic changes exist at certain degree indicating the potential injury of cardiac function in aged EH patients, such changes might be helpful for clinical diagnosis and treatment in EH patients. Key words Aged; Essential hypertension; Hemodynamics (Chinese Circulation Journal, 2014,29:517.) 原发性高血压是导致血流动力学变化的常见原因 与 100 例老年健康人进行检测分析 , 旨在为原发性高