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目的:探讨正常高值血压者心血管危险因素对静息心率的影响。方法收集2013年5月至2014年6月在山西大医院体检中心检测的18~55岁正常高值血压者1599例,依据静息心率水平分为4组:静息心率70次/min有436例。记录其血压、年龄、静息心率、体质量指数、空腹血糖、血脂4项、肌酐、尿酸等心血管危险因素结果进行统计学分析。结果比较4组被研究者的收缩压、舒张压、年龄、体质量指数、空腹血糖、总胆固醇、甘油三酯、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、肌酐、尿酸等指标差异有统计学意义(P<0.05)。Spearman相关分析显示:静息心率与体质量指数、空腹血糖、总胆固醇、低密度脂蛋白胆固醇、肌酐、尿酸呈显著正相关性;静息心率与年龄、高密度脂蛋白胆固醇呈显著负相关性。多重线性分析(α入=0.05,α出=0.10的纳入排出标准显示,对静息心率影响因素依次为总胆固醇、低密度脂蛋白胆固醇、体质量指数、年龄、甘油三酯、尿酸和空腹血糖。结论正常高值血压人群中静息心率与多种心血管危险因素之间存在密切联系,心血管交感神经激活可能解释这种关系。“,”Objective To investigate the high normal blood pressure on cardiovascular risk factors influencing resting heart rate. Methods Collection in 2013 May to 2014 June in hospital of 1599 patients aged 18 to 55 years old people with high normal blood pressure. On the basis of resting heart rate and divided into 4 groups:Group A(Resting heart rate70 /min,n=436). Recording Cardiovascular risk of blood pressure and age,resting heart rate,body mass index,fasting blood glucose,four blood lipids,creatinine,uric acid and other factors the results of statistical analysis. Results Comparison of 4 groups of subjects of systolic blood pressure,diastolic blood pressure, age,body mass index,fasting blood glucose,total cholesterol,triglycerides,high density lipoprotein protein cholesterol,low density lipoprotein cholesterol,creatinine,uric acid and other indicators have difference in Statistics (P<0.05). Spearman correlation analysis showed that the resting heart rate and body mass index,fasting blood glucose,total cholesterol,low density lipoprotein cholesterol,creatinine,uric acid had a significant positive correlation. Resting heart rate and age,high density lipoprotein cholesterol was significantly negative correlation. Multiple linear analysis (alpha into =0.05,alpha =0.10 into the discharge standard) showed the influencing factors of the resting heart rate followed by total cholesterol,low density lipoprotein cholesterol,body mass index,age,triglyceride,uric acid and fasting blood glucose. Conclusion There is a close relationship between the high normal resting blood pressure heart rate with multiple cardiovascular risk factors and cardiovascular sympathetic activation may explain this relationship.