目的:了解老年高血压左心室肥厚(LVH)患者炎症因子变化情况。方法:对40例LVH患者血清TNF-α、sVCAM-1和IL-1β水平进行检测,并与30例健康体检者和45例老年高血压非左心室肥厚者(NLVH)比较。结果:LVH患者血清水平IL-1β、TNF-α和sVCAM-1分加别为(11.43±4.63)pg/ml,(35.44±21.38)pg/ml,(109.54±37.24)ng/ml。对照组分别为(4.29±4.13)pg/ml,(8.78±15.47)pg/ml,(27.33±32.41)ng/ml,NLVH组分别为(8.65±4.29)pg/ml,(23.41±13.12)pg/ml,(98.65±45.24)ng/ml。LVH高于对照组,也高于NLVH组(P<0.01或P<0.05)。结论:LVH患者其机体内皮功能受损,巨噬细胞被活化,引起多种细胞因子的释放。