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目的观察联合降压调脂对社区治疗老年人高血压合并高脂血症的效果,以更好的改善高血压合并高脂血症患者的生活质量。方法选取100例高血压合并高脂血症老年患者作为研究对象,随机分为采取氨氯地平治疗的对照组以及在此基础上联合降压调脂(阿托伐他汀)治疗的观察组,每组50例。观察2组患者用药干预前后的血压、血脂变化情况及心脑血管事件发生情况。结果治疗后,2组舒张压、收缩压数值较治疗前均降低,且观察组降低幅度大于对照组(P<0.05)。治疗后,2组胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)数值较治疗前均降低,高密度脂蛋白胆固醇(HDL-C)数值较治疗前升高,且观察组降低或升高幅度大于对照组(P<0.05)。观察组心血管事件发生率为6.0%,低于对照组的20.0%(P<0.05)。结论联合降压调脂对社区治疗老年人高血压合并高脂血症效果显著,能够改善患者血压情况,并降低心脑血管事件的发生率,具有推广应用价值。
Objective To observe the effect of combination of antihypertensive and lipid lowering on community treatment of hypertension and hyperlipidemia in the elderly in order to better improve the quality of life of patients with hypertension and hyperlipidemia. Methods A total of 100 hypertensive patients with hyperlipidemia were selected as study subjects and randomly divided into control group treated with amlodipine and observation group treated with atherosclerosis (atorvastatin) Group of 50 cases. The changes of blood pressure and blood lipid and the incidence of cardiovascular and cerebrovascular events before and after treatment were observed in two groups. Results After treatment, the diastolic blood pressure and systolic blood pressure in both groups were lower than those before treatment, and the decrease in observation group was larger than that in control group (P <0.05). After treatment, the values of TC, TG and LDL-C in two groups were lower than those before treatment, and the values of HDL-C in two groups were higher than those before treatment , And the observation group decreased or increased more than the control group (P <0.05). The incidence of cardiovascular events in the observation group was 6.0%, which was lower than that in the control group (20.0%, P <0.05). Conclusions The combination of antihypertensive and lipid lowering in community treatment of hypertension in elderly patients with hyperlipidemia significant effect, can improve the patient’s blood pressure and reduce the incidence of cardiovascular and cerebrovascular events, with the promotion and application value.