【摘要】 目的通过对老年白大衣高血压患者与持续性高血压、正常血压者基本代谢情况的比较,探讨三组人群代谢特点及差异,同时探讨三者在心血管疾病危险因素方面的差异。方法根据详细的询问病史、体格检查及血脂、肾功能等生化指标检测,分析三组人群之间的差异。结果1.三组病例基本生化指标无明显差异(P>0.05)。2.白大衣高血压组超重和高脂血症现象普遍存在,与正常血压组存在显著差异(P<0.05);白大衣高血压组中存在不良生活习惯发生率高于正常血压组和持续性高血压组。3.脑卒中发生率白大衣高血压组与正常血压组相近,而持续性高血压组的发生率是白大衣高血压的3.5倍。结论根据有限的观察病例数,较正常血压组和持续性高血压组,老年白大衣高血压不良生活习惯发生率、超重和高脂血症率均高,但脑卒中发生率明显低于持续性高血压组。更多还原

【Abstract】 Objecive To compare white coat hypertension(WCH),sustained hypertension(SH) and normotension(NT) groups in the elderly,we probe the differences and characteristics in the metabolism and risk factors among them. Methods According to the history interrogation, physical examination and detection of biochemical determinations, we learned the metabolic differences hypertensive risk factors among them. Results 1. There was no difference in the basic biochemical indices among them(P >0.05). 2. The phenomenon of existance of overweight and hyperlipimia was wide-spread in WCH. There was obverious difference between WCH and NT about this phenomenon(P< 0.05). The proportion of harmful living habits (lack of exercise, rash temper, high salt diet) was higher than that in NT and SH. 3.The incidence of stroke in WCH is close to that in NT,however, the incidence of stroke in SH was 3.5 times to that in WCH. Conclusions The incidences of harmful living habits, overweight and hyperlipidemia in WCH all were higher than those in NT and SH, but the incidence of stroke was obviously lower than in SH.更多还原