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老年高血压病患者血压水平与心血管病危险因素的分布状况调查(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2011年第5期
页码:
658-660
栏目:
临床研究
出版日期:
2011-10-25

文章信息/Info

Title:
Analysis of blood pressure level and risk factors for cardiovascular diseases in elderly patients with hypertension
作者:
张 隽1; 黄久仪2
1.解放军第三二三医院干一科，陕西 西安 710054；2.上海市脑心血管病防治研究所，上海201318
Author(s):
ZHANG Jun1;  HUANG Jiu-yi2
1.First Cadres Ward, PLA 323 Hospital, Xi’an 710054, Shaanxi, China; 2.Shanghai Institute of Cardiovascular and Brain Disease Prevention, Shanghai 201318, China
关键词:
老年人; 高血压; 原发性; 心血管病; 危险因素
Keywords:
elderly;  hypertension;  primary;  cardiovascular disease;  risk factor
分类号:
R544.1
DOI:
-
文献标识码:
A
摘要:
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。
Abstract:
AIM:To analyze blood pressure and common risk factors for cardiovascular diseases (CVD) in elderly patients with hypertension. METHODS: From January 2007 to June 2009, 1002 patients with hypertension aged 65 and over were recruited from the Outpatient Department in our hospital. A cross-sectional survey was designed to measure blood pressure and to investigate common risk factors for CVD including heart diseases, diabetes, hyperlipidemia, obesity, cigarette smoking and alcohol consumption. Systolic and diastolic blood pressure levels, exposure rate of common risk factors for CVD and exposure to multiple risk factors between age and gender groups were analyzed. RESULTS: Mean of systolic and diastolic blood pressure in elderly patients with hypertension was (149±20)mmHg and (82±11)mmHg, respectively. Diastolic pressure in male patients was significantly higher than in female patients and diastolic pressure in patients aged 65-69 years was higher than in patients aged <65 years (P<0.01). Exposure rates of heart diseases, diabetes, hyperlipidemia and obesity were 39.8, 16.2, 36.8 and 10.3%, respectively. Exposure rate of hyperlipidemia in female patients was significantly higher than in male patients (P<0.05), but the rates of cigarette smoking and alcohol consumption in male patients were significantly higher than in female patients (P<0.01). The rate of multiple (two or three) factors of heart diseases, diabetes and hyperlipidemia was 20.1% in male patients and 26.8% in female patients. The rate of heart diseases complicated by hyperlipidemia in female patients was significantly higher than in male patients. CONCLUSION: Diastolic blood pressure is better controlled than systolic pressure in elderly patients with hypertension; 22.8% patients under study are exposed to two or three risk factors.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2010-06-18.作者简介:张隽，主治医师Email:378072430@qq.com
更新日期/Last Update: 2011-11-03