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回顾性分析 1985～ 1990年 5 437例连续检测的高血压者超声心动图资料 ,以左心室重量指数 (LVMI)作为诊断左心室肥厚 (LVH)的指标 ,男性 >12 5 g/m2 ,女性 >12 0 g/m2 。结果表明 ,LVH检出率为 31.6 % ,男女性之间无显著性差异 ;严重程度分级 ,轻、中、重LVH分别占 6 6 .3 % ,2 1.7%与 12 .0 % ;结构分型 ,不对称性室间隔肥厚、对称性肥厚、扩张性肥厚分别占 2 8.1% ,34.0 %与 37.9% ;如以室间隔与左室后壁厚度实测值为诊断指标 ,虽然阳性符合率很高 (86 .7% ) ,但有较高假阳性率(41.0 % )。
The echocardiographic data of 5 437 consecutive hypertensive patients from 1985 to 1990 were retrospectively analyzed. Left ventricular mass index (LVMI) was used as an index to diagnose left ventricular hypertrophy (LVH) in men> 125 g / m 2 and in women> 12 0 g / m2. The results showed that the detection rate of LVH was 31.6%, there was no significant difference between male and female; the grading of severity, light, medium and heavy LVH accounted for 66.3%, 27.7% and 12.0% respectively; , Asymmetric ventricular septal hypertrophy, symmetry hypertrophy, dilatation hypertrophy accounted for 2 8.1%, 34.0% and 37.9%; as measured by the interventricular septal and left ventricular posterior wall thickness as a diagnostic indicator, although the positive coincidence rate is high 86.7%), but had a higher false positive rate (41.0%).