| 俞家旺,汪秀莲,赵韧,丁伟,沈伟,王邦宁.高血压患者的静息心率与家庭自测血压变异及糖脂代谢紊乱的关系[J].中国临床保健杂志,2017,20(1):7-10. |
| 高血压患者的静息心率与家庭自测血压变异及糖脂代谢紊乱的关系 |
| Correlation of resting heart rate with home blood pressure variability and glucose- lipid metabolism disorder in hypertensive patients |
| 投稿时间：2016-05-09 |
| DOI：10.3969/J.issn.1672-6790.2017.01.003 |
| 中文关键词: 高血压 心率 脂代谢障碍 葡萄糖代谢障碍 |
| 英文关键词: Hypertension Heart rate Lipid metabolism disorders Glucose metabolism disorders 〖FL |
| 基金项目:安徽省自然科学基金(1508085QH164) |
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| 中文摘要: |
| 目的 探讨高血压患者静息心率与家庭自测血压变异及糖脂代谢紊乱的关系。方法 对入选的高血压患者按静息心率(RHR)的快慢分为三组:RHR<65 次/分钟为A组(48例),65≤RHR＜80 次/分钟为B组(56例),RHR≥80 次/分钟为C组(52例),指导每位患者进行家庭血压自测并记录于统一表格中,同时均进行总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、空腹血糖(FPG)、体质量指数(BMI)的测定。结果 C组早间收缩压均值,收缩压、舒张压变异大于A组和B组；B组和C组早间舒张压均值大于A组,C组晚间收缩压、舒张压均值低于A和B组,差异均有统计学意义(P＜0.05)。高血压患者不同静息心率与家庭自测收缩压变异、舒张压变异、TC、TG、LDL-C、FPG、BMI呈正相关(r分别为0.655、0.694、0.613、0.787、0.682、0.526、0.688,P＜0.05),与HDL-C呈负相关(r=-0.649,P＜0.05),随着静息心率增快,合并不同代谢异常的人数也增多。结论 高血压患者静息心率与家庭自测血压变异和糖脂代谢紊乱密切相关。 |
| 英文摘要: |
| Objective To explore the relationship of resting heart rate with home blood pressure variability and glucose-lipid metabolism disorder in hypertensive patients.Methods For selected patients with hypertension according to the speed of the resting heart rate (RHR) divided into three groups:group A (RHR＜65,48 cases),group B (65≤RHR＜80,6 cases),group C (RHR≥80,2 cases),To each patient distribution record blood pressure table for home blood pressure self-test,at the same time,total cholesterol (TC),triglyceride (TG),low density lipoprotein cholesterol (LDL-C),high density lipoprotein cholesterol (HDL-C),fasting blood glucose (FPG),and body mass index (BMI) were measured.,return visit after 1 week recovery data and were statistically analyzed.Results Morning systolic blood pressure(SBP),SBP and DBP standard deviation in group C were higher than those in group A and group B,Early diastolic blood pressure(DBP)group B and group C was higher than that in group A,C group,night SBP and DBP mean value were lower than the mean A and B group,the difference was statistically significant (P<0.05),in patients with essential hypertension,SBP and DBP variation,TC,TG,LDL-C,FPG,BMI was positively correlated with different resting heart rate (r=0.655,0.694,0.613,0.787,0.682,0.526,0.688,P＜0.05),and negatively correlated with HDL-C (r=-0.649,P＜0.05),With the resting heart rate increasing,the number of patients with different metabolic abnormalities was also increased.Conclusion Resting heart rate is related to home blood pressure variability and glucose-lipid metabolism disorder in hypertensive patients. |
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