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目的探讨青年原发性高血压的临床特点及治疗。方法选青年高血压患者100例为青年高血压组，血压正常的青年健康体检者116例为正常对照组，中老年高血压患者110例为中老年高血压组，分析各组的有关指标、危险因素及青年高血压组的治疗特点。结果青年高血压组有阳性家族史和不良生活方式者较多，体质量指数明显高于其它两组，舒张压升高明显，甘油三酯与血尿酸较高(均<0.05)。结论青年高血压的发生与遗传和生活方式有关，通过改善生活方式，辅以药物治疗，可有效控制血压，β受体拮抗剂可作为首选药物。“,”Objective To investigate the clinical characteristics and the treatment of young people with essential hypertensio.Methods 100 cases of young patients with hypertension selected as the group of youth hypertension,Young healthy 116 cases of normal blood pressure as the control group,110 cases of middle-aged and elderly patients with hypertension as the middle-aged and elderly group,Analyzed the related indicators,risk factors in each group,and the treatment characteristics of youth hypertension.Results Positive family history of hypertension and unhealthy lifestyles were more in youth hypertensio group,Body mass index (BMI)was significantly higher than the other two groups,had higher diastolic blood pressure,Higher triglycerides and uric acid (al <0.05).Conclusion Youth hypertension primarily related to genetic and lifestyle,By improving lifestyle,Combined with drug treatment,Can ef ectively control blood pressure,β-blockers can be used as the drug of choice.