發(fā)布時間：2018-02-10 10:27

  本文關(guān)鍵詞： 基線因素 頑固性高血壓 腎動脈去交感神經(jīng)術(shù) 動態(tài)血壓　出處：《臨床心血管病雜志》2017年01期 　論文類型：期刊論文

【摘要】：目的:分析頑固性高血壓患者基線因素對腎動脈去交感神經(jīng)術(shù)(RDN)降壓療效的影響,為RDN臨床病患的入選提供初步指導(dǎo)。方法:回顧性分析2013-2015年于普陀醫(yī)院心內(nèi)科行RDN治療的23例頑固性高血壓患者記錄數(shù)據(jù),采用單因素篩選和多因素分析得出RDN降壓效果的主要影響因素。結(jié)果:術(shù)前24h平均收縮壓水平是影響RDN降壓效果的最重要因素。無論低壓組(ABPSYS≤150mmHg)還是高壓組(ABPSYS150mmHg)經(jīng)過RDN術(shù)后半年的24h平均收縮壓血壓都維持在140mmHg左右。低壓組患者,術(shù)后6個月平均血壓減少(8.3±5.7)/(4.6±3.2)mmHg(P0.05),RDN有效率(術(shù)后6個月收縮壓值下降大于或等于10mmHg)為62.5%;高壓組降壓(28.9±12.1)/(12.4±7.4)mmHg(與術(shù)前比較P0.05),RDN有效率高達(dá)93.3%。結(jié)論:基線血壓顯著影響RDN降壓效果,且ABPSYS150mmHg患者RDN術(shù)降壓效果更明顯。根據(jù)動態(tài)血壓基線值選擇合適的患者,RDN術(shù)可以使患者更能獲益。
[Abstract]:Objective: to analyze the effect of baseline factors on the antihypertensive effect of RDN in patients with refractory hypertension. Methods: the data of 23 patients with refractory hypertension treated with RDN in Cardiology Department of Putuo Hospital from 2013 to 2015 were analyzed retrospectively. Univariate screening and multivariate analysis were used to find out the main influencing factors of RDN hypotensive effect. Results: the mean systolic blood pressure (SBP) level at 24 hours before operation was the most important factor affecting the antihypertensive effect of RDN, whether in low pressure group (ABPSYS 鈮，

本文編號：1500302