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目的探讨U波倒置对诊治高血压病的意义。方法对门诊、住院及体检时发现的362例高血压患者中出现U波倒置的96例患者追踪观察其血压变化和U波倒置程度的关系及患者左室舒张功能情况。结果高血压患者出现U波倒置的主要发生在胸导联,以初始型为主(P<0.01),U波倒置的程度与血压高低明显相关。并且有U波倒置的高血压患者大部分(65.7()存在左室舒张功能不全。结论U波倒置及其变化作为高血压患者早期诊断、发展及治疗转归的重要辅助判断指标,有着重要的实用价值。
Objective To investigate the significance of U wave inversion in diagnosis and treatment of hypertension. Methods A total of 96 patients with U wave inversion in outpatients, inpatients and 362 hypertensive patients found during physical examination were followed up to observe the relationship between blood pressure changes and U wave inversion and left ventricular diastolic function. Results U wave inversion occurred mainly in the thoracic lead in hypertensive patients, mainly in the initial type (P <0.01). The degree of U wave inversion was significantly correlated with the level of blood pressure. (65.7%) of hypertensive patients with U-wave inversion had left ventricular diastolic dysfunction.Conclusion U-wave inversion and its changes are important auxiliary indicators for the early diagnosis, development and treatment outcome in patients with essential hypertension Practical value.