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目的:通过心率变异性(HRV)分析,评估高血压性急性脑血管病(ACVD)患者的病情及预后。方法:对80例原发性高血压患者并 ACVD组40例,无 ACVD组40例进行对比分析。结果:原发性高血压并 ACVD组最小心率及平均心率高于无 ACVD组,P<0.01,前者R-R间期标准差(ADNN)、心率变异指数(HRV Index)均低于后者,病灶部位越接近心血管中枢部位及自主神经调节中枢,其HRV中SDNN及Index越低。结论:HRV是临床预防心衰、预测ACVD危险因素的重要指标。
PURPOSE: To assess the condition and prognosis of patients with hypertensive acute cerebrovascular disease (ACVD) by heart rate variability (HRV) analysis. Methods: Eighty patients with essential hypertension and ACVD group, 40 cases without ACVD group were compared and analyzed. Results: The minimum heart rate and average heart rate in patients with essential hypertension and ACVD were significantly higher than those without ACVD (P <0.01). The mean R-R interval standard deviation (ADNN) and heart rate index (HRV Index) The closer to the cardiovascular center and the autonomic nervous center, the lower the SDNN and Index in HRV were. Conclusion: HRV is an important index for clinical prevention of heart failure and predicting the risk factors of ACVD.