论文部分内容阅读
目的:调查与分析老年高血压病患者的血压水平及常见心血管病危险因素的分布状况。方法:2007年1月～2009年6月,在323医院门诊选择65岁以上的老年高血压病患者进行血压水平测量,调查常见心血管病危险因素,分析血压水平、并发危险因素的暴露率及同时并发多种危险因素的情况。结果:符合纳入标准并完成调查的老年高血压患者1 002例,收缩压和舒张压水平分别为(149±20)mmHg和(82±11)mmHg;男性舒张压水平显著高于女性,65～69岁组舒张压水平显著高于较年长组(P<0.01)。老年高血压病患者并发心脏病、糖尿病、高血脂、肥胖等危险因素的暴露率分别为39.8%、16.2%、36.8%和10.3%。女性高血脂的暴露率显著高于男性(P<0.05);男性的饮酒和吸烟率显著高于女性(P<0.01)。同时并发心脏病、糖尿病、高血脂等2种或以上者男性为20.1%,女性为26.8%;女性同时并发心脏病和高血脂者显著高于男性。结论:老年高血压病患者的舒张压水平控制情况优于收缩压,并发其它心血管病危险因素相当普遍,22.8%患者并发有2种或以上的危险因素。
OBJECTIVE: To investigate and analyze the blood pressure level and the distribution of common cardiovascular risk factors in elderly patients with essential hypertension. Methods: From January 2007 to June 2009, blood pressure was measured in 323 hospital outpatients aged over 65 years old to investigate the risk factors of common cardiovascular diseases. The levels of blood pressure, the exposure rate of risk factors and Concurrent with a variety of risk factors. Results: Among the 1002 elderly hypertensive patients who met the inclusion criteria and completed the survey, the systolic and diastolic blood pressure levels were (149 ± 20) mmHg and (82 ± 11) mmHg, respectively. The diastolic blood pressure was significantly higher in men than in women Diastolic blood pressure was significantly higher in the 69-year-old group than in the older group (P <0.01). Elderly patients with hypertension and heart disease, diabetes, hyperlipidemia, obesity and other risk factors exposure rates were 39.8%, 16.2%, 36.8% and 10.3%. The exposure rate of female hyperlipidemia was significantly higher than that of male (P <0.05). The male’s alcohol consumption and smoking rate were significantly higher than those of female (P <0.01). At the same time complicated by heart disease, diabetes, hyperlipidemia and other 2 or more men 20.1%, 26.8% of women; women with concurrent heart disease and hyperlipidemia were significantly higher than men. Conclusion: The control of diastolic blood pressure in elderly patients with hypertension is better than systolic blood pressure, and the risk factors of other cardiovascular diseases are quite common. Among the 22.8% patients, there are two or more risk factors.