引用本文:关 健,陈小燕.子痫前期孕妇动态血压与异常心电图特点分析[J].中国临床新医学,2017,10(8):747-750.
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子痫前期孕妇动态血压与异常心电图特点分析
关 健,陈小燕
526001 广东,惠州市第一妇幼保健院内科
摘要:
[摘要] 目的 探讨子痫前期孕妇24 h动态血压的特点、心电图的异常改变以及两者的关系。方法 收集子痫前期孕妇95例进行分析,根据病情分重度子痫前期组(A组)46例,轻度子痫前期组(B组)49例,并选取同期年龄、孕次、孕周、体重类似的正常妊娠孕妇45名作为对照组(C组)。所有研究对象均行24 h动态血压监测(ABPM)及常规心电图检查,分析及对比各组孕妇24 h血压及异常心电图改变的特点。结果 (1)子痫前期孕妇ABPM各指标均较对照组孕妇明显升高,A组24 h平均收缩压(24hSBP)、24 h平均舒张压(24hDBP)、白天平均收缩压(dSBP)、夜间平均收缩压(nSBP)、夜间平均舒张压(nDBP)、白天平均动脉压(dMAP)、夜间平均动脉压(nMAP)、收缩压负荷(SL)、白天平均心率(dHR)、夜间平均心率(nHR)、24 h平均心率(24hHR)明显高于B组(P<0.05)。A及B组夜间血压下降率(MBP)<10%,昼夜血压呈“非杓型”改变A组占89%,B组占68%。(2)A组异常心电图发生率明显高于B组及C组(P<0.05)。结论 子痫前期孕妇昼夜血压节律性多数呈“非杓型”,血压水平越高,子痫前期孕妇越容易发生异常心电图。
关键词:  子痫前期  动态血压  心电图
DOI:10.3969/j.issn.1674-3806.2017.08.10
分类号:R 54;R 714
基金项目:
Analysis of the characteristics of ambulatory blood pressure and abnormal electrocardiogram in preeclampsia pregnant women
GUAN Jian, CHEN Xiao-yan
Analysis of the characteristics of ambulatory blood pressure and abnormal electrocardiogram in preeclampsia pregnant women
Abstract:
[Abstract] Objective To study the characteristics of 24-hour ambulatory blood pressure, changes of abnormal electrocardiogram(ECG) and the relationship between them in preeclampsia pregnant women.Methods 95 preeclampsia pregnant women were collected, and were divided into group A(with severe preeclampsian, n=46) and group B(with mild preeclampsia, n=49) according to the severity of the disease. Other matched 45 normal pregnant women were enrolled as the control group(group C) during the same period. The three groups were similar in age, pregnant times and body weight. 24-hour ambulatory blood pressure monitoring(ABPM) and ECG examination were performed in all the patients. The characters of 24-hour blood pressure and changes of abnormal ECG were analyzed.Results (1)The ABPM indexes of preeclampsia women were significantly higher than those of the pregnant women in the control group. The levels of 24hSBP, 24hDBP, dSBP, nSBP, nDBP, dMAP, nMAP, SL, dHR, nHR and 24hHR in group A were significantly higher than those in group B(P<0.05). The nighttime blood pressure decrease rate(MBP) of group A or group B was less than <10%. Circadian blood pressure of “non dipper” change was 89% in group A, and 68% in group B.(2)The rate of abnormal ECG in group A was significantly higher than that in group B or group C(P<0.05).Conclusion The blood pressure circadian rhythm is “non dipper type” in most preeclampsia pregnant women. The higher level of blood pressure, the more rate of abnormal ECG occurs in preeclampsia pregnant women.
Key words:  Preeclampsia  Ambulatory blood pressure  Electrocardiogram