摘要
目的探讨急诊高血压患者降压前后心电图变化特征及临床意义。方法选取2014年1月至2015年11月我院急诊收治高血压患者93例为研究对象,患者入院后积极予以降压治疗,比较降压前后患者的收缩压、舒张压、心率及心电图变化。结果治疗后患者收缩压、舒张压及心率均明显降低,比较有统计学意义(P<0.05)。治疗前后患者心电图变化中传导阻滞、STT段改变及高电压发生率差异无统计学意义(P>0.05);治疗后患者心动过速、期前收缩发生率显著降低(P<0.05)。结论急诊高血压患者可导致心动过速、期前收缩发生率增高,降低血压后其发生率降低。
Objective To explore the characteristics and clinical significance of ECG changes of emergency patients before and after antihypertensive treatment. Methods A total of 93 cases of hypertension patients admitted to emergency department from January 2014 to November 2015 were selected as research objects. All patients received antihypertensive treatment. The changes of systolic blood pressure, diastolic blood pressure, heart rate and ECG before and after antihypertensive treatment were compared. Results After treatment, the systolic blood pressure, diastolic blood pressure, and heart rate decreased significantly （P 〈0.05）. No statistical change was found in incidences of conduction block, ST-T segment changes and high-voltage before and after treatment （P〉0.05）. The incidences of tachycardia and premature beat after treatment decreased significantly （P 〈0.05）. Conclusions Emergency hypertension patients have significantly improved the incidences oftachycardia and premature beat, and antihypertensive treatment can reduce the incidences.
出处
《临床医学工程》
2016年第5期555-556,共2页
Clinical Medicine & Engineering
基金
广东省科技计划项目(项目编号:2012B031800176)
关键词
急诊
高血压
降压
心电图
Emergency
Hypertension
Antihypertensive
Electrocardiogram
作者简介
张桂成（1979-），男，广东籍，大学本科学历，主治医师，研究方向：普通内科。
