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目的:分析老年高血压的临床特征及治疗对策。方法:以2012年5月至2014年5月期间接诊的老年高血压患者和非老年高血压患者各70例作为研究对象,老年高血压患者作为观察组,非老年高血压患者为对照组,对比两组患者的临床特点。结果:老年高血压观察组患者的收缩压、舒张压和脉压差等血压水平与非老年高血压对照组患者有显著差异,差异有统计学意义(P<0.05);老年高血压观察组患者出现糖尿病、心血管疾病、脑血管疾病和眼底病等合并症的人数均高于非老年高血压对照组,差异有统计学意义(P<0.05)。结论:患者的临床特征为收缩压和脉压升高,多合并心脑血管疾病。对老年高血压患者的治疗要坚持个体化治疗,持续有效的平缓的降低血压,并注意并发症对疾病的影响。
Objective: To analyze the clinical features and treatment of senile hypertension. Methods: Seventy patients with senile hypertension and non-elderly hypertensive patients admitted from May 2012 to May 2014 were selected as research objects. Elderly hypertensive patients as observation group and non-elderly hypertensive patients as control group, The clinical features of two groups were compared. Results: The systolic blood pressure, diastolic blood pressure and pulse pressure difference among the senile hypertension patients were significantly different from those in the non-elderly hypertensive control group (P <0.05). The elderly hypertensive patients The number of complications such as diabetes, cardiovascular disease, cerebrovascular disease and fundus disease were higher than those in non-elderly hypertensive control group (P <0.05). Conclusion: The clinical features of patients with systolic blood pressure and pulse pressure increased, more complicated by cardiovascular and cerebrovascular diseases. The treatment of elderly patients with hypertension should adhere to individualized treatment, sustained and effective gentle lower blood pressure, and pay attention to the impact of complications on the disease.