老年高血压病临床特征分析(1)
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【摘要】 目的 探讨老年高血压病的特点,提高对其认识。方法 将2007年10月至2009年2月在本院门诊和住院的高血压病患者划分为≥60岁组和<60岁组,采用统一调查表格和体格检查和辅助检查并行抑郁量表评分。结果 两组高血压分级比较2级最多,老年组以1、2级高血压患者最多。高血压危险程度分层,老年组的高危组、很高危组显著高于非老年组(P<0.01)。高血压的分布老年组以单纯收缩期高血压患病率最高(达56.7%),心血管危险因素、抑郁症状评分,靶器官损害及合并疾病二组比较差异显著。结论 老年高血压病的心血管危险因素增多,易致靶器官损害。
【关键词】
老年;高血压;临床特征
Analysis of clinical characteristics of the elderly hypertension
WANG Weide.Fu zhaohuoZhou huihong The Fifth People’ Hospital Xiangtan,Hunan,Xiangtan 411100,China
【Abstract】 Objective To explore the characteristics of hypertension in the elderly,and raise the awareness.Methods Patients with hypertension were recruited from the inpatient and outpatient unit from October 2007 to February 2009 in our hospital,which were divided into above or equal to 60yearold group and below 60yearold group.Each patient went through a uniform investigation、medical examination and laboratory examination and marked with Depression Scale.Results After comparison between two classifications,the grade 2 hypertension were the most.The grade 1 and 2 hypertension were the most in elderly group.According to thestratification of hypertension risk degree,highrisk group and very highrisk group of the elderly was significantly higher than that of the control groups(P<0.01).The prevalence rate of pure systolic hypertension was the highestabout elderly group(56.7%).Significant differences existed between cardiovascular risk factors and depressive symptom score and target organ damage and combined diseases.Conclusion Cardiovascular risk factors of the elderly hypertension disease increased,which easily led to target organ damage.
【Key words】
The elderly; Essential hypertension; Clinical feature
DOI:10.3760/cma.j.issn 16738799.2010.01.49
作者单位:411100湖南省湘潭市第五人民医院
高血压病是一个随年龄增加而患病率上升的疾病,是老年人最常见的疾病之一,也是老年人致死、致残的原因之一。作者将2007年10月至2009年2月长期在本院门诊和住院的高血压患者分为老年组(≥60岁)和非老年组(<60岁),将二组患者的临床资料进行比较分析,以探讨老年高血压病的临床特点,提高对老年高血压病的认识和诊疗水平。
1 资料与方法
1.1 病例选择 凡于2007年10月至2009年2月在本院住院和长期于本院门诊就诊的高血压患者作为分析对象(排除继发性高血压患者和并发重性精神病患者),按≥60岁和<60岁年龄段分为老年组和非老年组 ......
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