【摘要】 目的:分析广东省丰顺地区老年高血压患者的临床特点,为临床治疗该地区老年高血压病提供参考。方法:选取广东省丰顺县人民医院等共3所医院2015年1月至2016年1月收治的老年高血压患者827例,并对所收集的临床资料进行整理,回顾性分析该地区老年人高血压病心脑血管危险因素的分布特征以及其合并症的发生情况。结果:本次纳入研究的827例老年高血压患者中,男性409人,占49.5%,女性418人,占50.5%,平均年龄(75.32±8.74)岁。其中,34.23%存在血脂异常,15.60%有吸烟史,4.47%有高血压家族史,肥胖占2.06%,23.10%合并糖尿病,29.02%合并冠心病,5.20%合并心力衰竭,28.78%合并脑血管疾病,25.83%合并肾功能不全。不同高血压级别合并脑血管病、冠心病、心力衰竭、肾功能不全的发生率存在显著差异(P=0.047,P<0.001,P=0.026,P=0.041),而吸烟、血脂异常、肥胖、糖尿病的占比差异无统计学意义(P>0.05)。结论:广东省丰顺地区老年高血压患者在心脑血管病危险因素中所占比重最大的是血脂异常,合并冠心病及脑血管疾病比例最大,这可能与血脂异常有着密切的关系。更多还原

【Abstract】 Objective: To analyze the clinical characteristics of hypertension in the elderly in Fengshun area of Guangdong Province and provide references for the treatment. Methods: 827 cases of elderly hypertensive patients in Fengshun County People’s Hospital and other 2 hospitals from January 2015 to January 2016 were selected for this study. The clinical data were collected to analyze the distribution characteristics of risk factors and combination in elderly hypertensive patients retrospectively. Results: There were 827 cases of patients enrolled in the study, 409 were male, accounting for 49.5%, while 418 cases were female, accounting for 50.5%. The average age was(75.32 ±8.74), among which 34.23% were dyslipidemia, 15.60% had a history of smoking. Four point forty-seven percent had a hypertension family history and 2.06% were obesity. There were 23.10% participants with diabetes mellitus, 29.02% with coronary heart disease, 5.20% with heart failure, 28.78% with cerebrovascular disease, and 25.83% with renal insufficiency. There were statistical differences in the percentage of cerebrovascular disease, coronary heart disease, heart failure and renal insufficiency between different blood pressure levels. Conclusion: Dyslipidemia accounted for the largest proportion of risk factors in elderly patients with hypertension in Fengshun area of Guangdong Province and coronary heart disease and cerebrovascular disease were the largest combination,which may have close relationship with dyslipidemia.更多还原