老年高血压患者静息心率与颈动脉内-中膜厚度的关系

doi:吉林省科技厅基金资助课题（20030551-3）

老年高血压患者静息心率与颈动脉内-中膜厚度的关系

王春艳¹，孙捷¹ ，王桂茹¹，赵艳秋²

1.吉林大学第一医院干部病房，吉林长春 130021 ； 2.吉林大学第二医院电诊科，吉林长春 130041

收稿日期:2006-03-19 修回日期:1900-01-01 出版日期:2007-01-28 发布日期:2007-01-28
通讯作者: 孙捷

Relationship between resting heart rate and carotid arterial intima-media thickness in senile patients with essential hypertension

WANG Chun-yan¹ ,SUN Jie¹ ,WANG Gui-ru¹ , ZHAO Yan-qiu²

1.Department of Cadre Ward, First Hostpital,Jilin University, Changchun 130021,China; 2. Department of Electrodiagnosis , Second Hospital ,Jilin University, Changchun 130041,China

Received:2006-03-19 Revised:1900-01-01 Online:2007-01-28 Published:2007-01-28
Contact: SUN Jie

摘要/Abstract

摘要： 目的：探讨老年高血压患者静息心率(RHR)与颈动脉内-中膜厚度(IMT)的关系。方法：入选老年高血压患者164例，按血压水平分为A组BP₁ （140/90mmHg≤BP<160/100 mmHg）72例；B组BP₂（160/100 mmHg≤BP<180/110 mmHg）55例；C组BP₃（BP≥180/110 mmHg）37例。每组按RHR分为RHR₁组（RHR<60次•min^-1）、RHR2组（60次•min^-1≤RHR<70次•min^-1）、 RHR₃组（70次•min^-1≤RHR＜80次•min^-1）和RHR₄组（RHR≥80次•min^-1）。入选患者空腹测血糖、血脂、颈动脉超声检查测颈动脉IMT和颈动脉内径(CAD)。结果:RHR₄组的GLU、TC、TG、BSP均高于RHR₁～RHR₃ 各组（P<0.05或P<0.01)；RHR₄、RHR₃组与RHR₁、RHR₂组比较TMT增厚、CAD增大（P<0.05或P<0.01）。结论：随着RHR的增加颈动脉IMT和CAD的数值有明显的增加，RHR的增加是老年高血压患者颈动脉IMT增加的原因之一。

关键词: 静息心率, 颈动脉

Abstract: To investigate the realationship between resting heart rate(RHR) and carotid arterial intima-media thickness (IMT)in senile patients with essential hypertension .MethodsAll 164 elderly essential hypertensive patients were divided into three groups according to the levels of blood pressure (BP): the first group, 140/90 mmHg≤SBP<160 mmHg/100 mmHg;the second group, 160/100 mmHg≤BP<180/110 mmHg; the third group, BP≥180/110 mmHg. Each of the groups mentioned above were devided into four groups according to the levels of RHR. RHR₁ group :RHR <60 beats/ min; RHR₂ group :60 beats/min ≤RHR<70 beats/min ;RHR₃ group :70 beats /min ≤RHR <80 beats/min ;RHR₄　group : RHR≥80 beats /min.Blood lipids ,blood glucose, carotid ultrasonography were performed .Carotid arterial IMT and carotid arterial diameter (CAD)were measured. ResultsThe blood glucose,blood triglyeride,blood total cholesterol ,systolic blood pressure in RHR₄ groups were higher than those of RHR₁-RHR₃ groups (P<0.01 or P<0.05). The number of carotid arterial IMT and CAD in RHR₄, RHR₃ groups were higher than those in RHR₁，RHR₂ groups （P<0.01 or P<0.05）.ConclusionWith the increasing of RHR ,the numerical value of carotid arterial IMT and CAD also increase significantly. The increasing of RHR is one of the reasons of the carotid arterial IMT increasing in senile essential hypertensive patients.

Key words: resting heart rate, carotid artery

中图分类号:

R544.1

王春艳，孙捷，王桂茹，赵艳秋. 老年高血压患者静息心率与颈动脉内-中膜厚度的关系[J]. J4, 2007, 33(1): 141-143.

WANG Chun-yan ,SUN Jie ,WANG Gui-ru , ZHAO Yan-qiu. Relationship between resting heart rate and carotid arterial intima-media thickness in senile patients with essential hypertension[J]. J4, 2007, 33(1): 141-143.

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