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本文对我院内科1978～1982年5年间收治的60岁以上102例老年高血压病患者进行分析。其中男性77例,女性25例。在高血压的诱发因素中,我们发现大部分患者有紧张、劳累、情绪波动等因素。在化验检查中尿常规及血肾功有不同程度改变者分别占32.35和37.03％。在血脂分析中有血脂增高者达61.17％。在心电图的分析中发现各种心律失常占31.37％。其中以房性心律失常多见。伴不同程度冠状动脉供血不足者32例占31.37％。住院后经休息,去除诱因及药物治疗,87例血压在两周内可降至正常水平范围。其用药原则是采取分级及个体化方案,在达到治疗效果后,以小剂量药物维持其血压水平的稳定。为减少冠心病的发生必须积极防治高血压病。
In this article, we analyzed 102 cases of elderly hypertensive patients over the age of 60 admitted to our hospital from 1978 to 1982. There were 77 males and 25 females. Among the triggers of hypertension, we found that most of the patients were nervous, tired, mood swings and other factors. Urinalysis and blood tests in varying degrees of laboratory tests were accounted for 32.35 and 37.03%. Blood lipids in the blood lipids were up 61.17%. In the ECG analysis found that various arrhythmias accounted for 31.37%. Among them, atrial arrhythmia more common. With varying degrees of coronary insufficiency 32 cases accounted for 31.37%. After hospital rest, removal of incentives and medication, 87 cases of blood pressure within two weeks can be reduced to the normal range. The principle of its use of medication is to take a hierarchical and individualized programs, to achieve the therapeutic effect, with a small dose of drug to maintain its blood pressure level stability. To reduce the incidence of coronary heart disease must actively prevent and treat hypertension.