原发性高血压患者心电图P波异常对病情判断的意义
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摘要
目的原发性高血压患者心电图P波异常对病情判断的意义。方法 67例原发性高血压患者,根据常规心电图情况分为P波正常组(33例)和P波异常组(34例),对比两组患者的临床指标。结果 P波异常组患者中左房扩大31例(91.18%),左室肥厚33例(97.06%),左室舒张功能减退33例(97.06%),左室收缩功能不全8例(23.53%),复杂心律失常20例(58.82%);P波正常组患者中左房扩大7例(21.21%),左室肥厚9例(27.27%),左室舒张功能减退15例(45.45%),左室收缩功能不全1例(3.03%),复杂心律失常7例(21.21%),P波正常组患者心脏结构及各项功能异常率均优于P波异常组,差异具有统计学意义(P<0.05)。P波正常组患者功能测量各项均优于P波异常组患者,差异具有统计学意义(P<0.05)。结论心电图P波出现异常的原发性高血压患者病情较为严重,P波异常往往是原发性高血压发展至晚期的表现。
Objective To investigate significance of abnormal P wave of electrocardiogram for disease judgment in primary hypertension patients. Methods A total of 67 patients with primary hypertension were divided by their routine electrocardiogram condition into normal P wave group(33 cases) and abnormal P wave group(34 cases). Comparison was made on clinical indexes between the two groups. Results In the abnormal P wave group, there were 31 cases(91.18%) with left atrium enlargement, 33 cases(97.06%) with left ventricle hypertrophy, 33 cases(97.06%) with left ventricle diastole function, 8 cases(23.53%) with systolic left ventricular dysfunction, and 20 cases(58.82%) with complex cardiac arrhythmias. In the normal P wave group, there were 7cases(21.21%) with left atrium enlargement, 9 cases(27.27%) with left ventricle hypertrophy, 15 cases(45.45%) with left ventricle diastole function, 1 case(3.03%) with systolic left ventricular dysfunction, and 7 cases(21.21%) with complex cardiac arrhythmias. The normal P wave group had all better cardiac structure and abnormality rate of function than the abnormal P wave group, and their difference had statistical significance(P<0.05). The normal P wave group had all better measured function items than the abnormal P wave group, and their difference had statistical significance(P<0.05). Conclusion Abnormal P wave of electrocardiogram leads to comparatively severe condition of primary hypertension in patients, and abnormal P wave acts as a common manifestation of advanced primary hypertension.
Objective To investigate significance of abnormal P wave of electrocardiogram for disease judgment in primary hypertension patients. Methods A total of 67 patients with primary hypertension were divided by their routine electrocardiogram condition into normal P wave group(33 cases) and abnormal P wave group(34 cases). Comparison was made on clinical indexes between the two groups. Results In the abnormal P wave group, there were 31 cases(91.18%) with left atrium enlargement, 33 cases(97.06%) with left ventricle hypertrophy, 33 cases(97.06%) with left ventricle diastole function, 8 cases(23.53%) with systolic left ventricular dysfunction, and 20 cases(58.82%) with complex cardiac arrhythmias. In the normal P wave group, there were 7cases(21.21%) with left atrium enlargement, 9 cases(27.27%) with left ventricle hypertrophy, 15 cases(45.45%) with left ventricle diastole function, 1 case(3.03%) with systolic left ventricular dysfunction, and 7 cases(21.21%) with complex cardiac arrhythmias. The normal P wave group had all better cardiac structure and abnormality rate of function than the abnormal P wave group, and their difference had statistical significance(P<0.05). The normal P wave group had all better measured function items than the abnormal P wave group, and their difference had statistical significance(P<0.05). Conclusion Abnormal P wave of electrocardiogram leads to comparatively severe condition of primary hypertension in patients, and abnormal P wave acts as a common manifestation of advanced primary hypertension.
引文
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[9]马一鸣,韩菲,赵丽,等.青年原发性高血压病患者的临床及心电图特点分析.中华保健医学杂志,2016,18(1):18-20.
[10]吉兰芳.高血压病与心电图改变的关系.医药前沿,2014(2):221-222.
[2]贾师捷,步霄,刘经槃,等.血压晨峰与原发性高血压患者心律失常及心肌缺血的关系.现代生物医学进展,2014,14(19):3723-3725.
[3]万玮.硝苯吡啶与尼莫地平联合治疗原发性高血压效果观察.中外医学研究,2016,14(8):7-8.
[4]李岩峰.P波离散度对原发性高血压伴阵发性心房颤动的临床应用价值.世界最新医学信息文摘:连续型电子期刊,2016,16(23):84,87.
[5]童铎.P波离散度与原发性高血压合并阵发性心房颤动关系的分析.心脑血管病防治,2013,13(5):376-378.
[6]虞钧芬,徐立文.原发性高血压患者心电图P波异常对病情判断的意义.浙江实用医学,2010,15(1):12.
[7]钱玉英,顾爱明.原发性高血压患者心电图P波宽度变化的临床意义.心电与循环,2000(2):85-86.
[8]南淑丽,任素霞.心电图P波宽度变化与原发性高血压患者的关系.疾病监测与控制,2011,5(2):105.
[9]马一鸣,韩菲,赵丽,等.青年原发性高血压病患者的临床及心电图特点分析.中华保健医学杂志,2016,18(1):18-20.
[10]吉兰芳.高血压病与心电图改变的关系.医药前沿,2014(2):221-222.