【摘要】 目的 分析老年高血压病患者动态血压参数与左室肥厚(LVH)的关系。方法 对128例老年(≥60岁)高血压病患者依据是否伴有左心室肥厚分为左室肥厚组(LVH)与不伴有左室肥厚(NLVH)组，进行24h动态血压(ABPM)检测。比较两组间动态血压参数与左室肥厚的关系。结果 (1)LVH组与不伴有LVH组比较， 24hSBP、24hPP、dSBP、nSBP、BPF、BPL、LVMI差异有显著性(P<0.01或0.05)；(2)LVH组以非杓型血压为主，占75%，而不伴有LVH组，以杓型血压为主，占79.41%；(3)LVH组LVMI与24hSBP、24hPP、dSBP、nSBP、SBPL正相关(r=0.477～0.795, P<0.001)，与SBPF、DBPF负相关(r=-0.358,-0.289, P<0.01)。结论 老年高血压病左室肥厚的发生与SBP、24hPP、SBPL和BPF相关。

    【关键词】 老年高血压病； 动态血压监测； 左室肥厚； 昼夜节律

    Relationship between ambulatory blood pressure and left ventricular hypertrophy in elderly patients with hypertension

    WU Shi-ying， DING Guang-ming， DONG Tian-hong,et al.

    Department of Second lnternal Medicine,Railway Branch Hospital of ChengDu，Sichuan 610081,China

    【Abstract】 Objective To observe the relationship between the parameters of ambulatory blood pressure and left ventricular hypertrophy (LVH)in elderly patients with hypertension.Methods Ambulatory blood pressure monitoring (ABPM) was performed in 128 cases of hypertension ......