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老年收缩期高血压的临床意义

CLINICAL SIGNIFICANCE OF SYSTOLIC HYPERTENSION IN THE AGED

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【作者】 陈干仁; 蹇再金; 何福清; 廖习清; 苏又苏; 李继红;

【Author】 Chen Ganren Jian Zaijin He Fuqing Liao Xueqing Su Yousu Li JihongDepartment of Geriatric Medicine, The Second Affiliated Hospital

【机构】 湖南医学院第二附属医院老年病科; 湖南医学院第二附属医院老年病科;

【摘要】 本文报告300例老年高血压病并发症的多因素逐步回归分析。通过计算机运算,建立脑卒中组、心力衰竭组及冠心病组的三个最优回归方程。结果显示收缩期高血压与并发症密切相关,是一个危险因素,与舒张期高血压比较具有更重要的临床意义。

【Abstract】 Three hundred patients with the hypertension complications in the aged were studied by the multiple-factor stepwise regression analysis. The average age was 67.9 years old. The complications included cerebral hemorrhage and thrombosis, congestive heart failure, and coronary heart disease. The above complications were determined as dependent variables. The age, course, systolic pressure, diastolic pressure, pulse pressure, average pressure, heart rate, systolic pressure multiplied by heart rate, electrocardiogram, X-ray of the heart and cholesterol level were determined as independent variables. In the three multiple-factor stepwise regression equation of the complications, the systolic pressure were chosen as independent variables. The results revealed that the systolic pressure was the main factor causing the congestive heart failure and an important factor inducing coronary heart disease, and the pulse pressure was the main factor causing cerebral accidents. These suggest that the systolic pressure was a risk factor to the complications, its clinical significance was more important than the diastolic pressure.

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