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目的分析原发性高血压并发心功能不全患者的相关因素。方法回顾总结在我院住院的96例原发性高血压患者,将其按临床症状分为心功能不全组(46例),心功能正常组(50例);比较两组的临床特点及其相关因素。结果两组的性别、年龄、体质量指数(BMI)及高密度脂蛋白比较无统计学意义;但心功能不全组并发冠心病、糖尿病、心律失常和吸烟比例,以及血压、血胆固醇、三酰甘油、低密度脂蛋白水平均高于心功能正常组;高血压的控制率、左室射血分数值低于心功能正常组;两组患者高血压平均病程心功能不全组较心功能正常组长。结论心力衰竭是高血压病导致心脏损害的常见并发症,这种损害与高血压病的病程、控制程度(知晓率+合理使用ACEI类、β受体阻滞剂、钙拮抗剂及利尿剂等药物治疗高血压)、吸烟、冠心病病史、血脂的调治等有关。
Objective To analyze the related factors of patients with essential hypertension complicated with cardiac insufficiency. Methods A total of 96 patients with essential hypertension who were hospitalized in our hospital were retrospectively summarized. According to the clinical symptoms, they were divided into the cardiac insufficiency group (46 cases) and the normal cardiac function group (50 cases). The clinical characteristics and their clinical characteristics relevant factor. Results There was no significant difference in gender, age, body mass index (BMI) and high density lipoprotein between the two groups. However, the incidence of coronary heart disease, diabetes mellitus, arrhythmia and smoking, and blood pressure, blood cholesterol, Glycerol, low density lipoprotein levels were higher than normal cardiac function group; control rate of hypertension, left ventricular ejection fraction lower than normal cardiac function group; patients with hypertension in the mean duration of cardiac dysfunction group than normal cardiac function group long. Conclusions Heart failure is a common complication of heart damage caused by hypertension. This kind of damage is related to the course of hypertension and the degree of control (awareness rate + rational use of ACEIs, beta-blockers, calcium antagonists and diuretics, etc. Drug treatment of hypertension), smoking, history of coronary heart disease, lipid regulation and so on.