| 摘要: |
| ［摘要］ 目的 探讨老年人高血压的临床特点和治疗方案。方法 将该院高血压科2011-06～2012-12住院的老年人原发性高血压患者随机抽取180例作为观察组，另随机抽取同期中青年高血压患者100例作为对照组，比较两组患者的临床特点。结果 两组患者临床表现、糖脂代谢紊乱、脉压、血压波动、血压昼夜节律、伴随疾病和并发症、体位性低血压、降压药物种类间差异均有统计学意义（P<0.01）。结论 老年人高血压以收缩压增高为主、脉压增大、血压波动大、易出现体位性低血压、血压昼夜节律消失、常与多种疾病并存、并发症多等临床特点，应以老年人病理生理特点和个体差异制定治疗方案。 |
| 关键词: 高血压 老年人 临床诊治 |
| DOI：10.3969/j.issn.1674-3806.2014.09.15 |
| 分类号:R 54 |
| 基金项目: |
|
| Clinical characteristics analysis on 180 cases of hypertension in elderly |
|
WANG Min-chen, YANG Xiao-qing
|
|
Department of Cardiology, the Third People′s Hospital of Xintai City, Shandong 271212, China
|
| Abstract: |
| ［Abstract］ Objective To explore the clinical characteristics and treatment of hypertension in the elderly.Methods From June 2011 to December 2012, 180 elderly inpatients with essential hypertension were randomly selected as observation group, 100 young and middle-aged patients with high blood pressure at the same period were randomly selected as control group, and the clinical characteristics were compared between two groups.Results There were statistically significant differences in the clinical manifestations, metabolic disorder of sugar and lipid, pulse pressure, blood pressure fluctuations, blood pressure circadian rhythm, accompanying disease and complications, orthostatic hypotension, and antihypertensive drugs between two groups(P<0.01).Conclusion The hypertension in the elderly has following characteristics such as: higher systolic blood pressure, increases of pulse pressure, larger blood pressure fluctuations, easy to appear orthostatic hypotension, disappear of blood pressure circadian rhythm, more accompanying diseases, more complications and so on, and the treatment plan should be made according to elderly pathophysiologic characteristics and individual differences. |
| Key words: Hypertension The elderly Clinical diagnosis and treatment |
