中老年重度高血压的临床特点与危险因素控制  

Clinical characteristics of Stage 3 essential hypertension in the middle-elderly patients and the clinical control of Cardiovascu-lar disease risk factors

作　　者：邓丽冰[1] 候维宁[1] 

机构地区：[1]广州医学院荔湾医院,广东广州510170

出　　处：《国际医药卫生导报》2005年第20期33-34,共2页International Medicine and Health Guidance News

摘　　要：目的分析中老年重度高血压病人的临床特点及探讨心血管危险因素控制。方法对2000年至2001年在我院诊治的中老年重度高血压患者108例的临床特点进行回顾性分析。结果108例中男39例,女69例,男女之比0.6:1,本组病人治疗控制率差,脉压大的频率高,脉压在80mmHg以上的达76%。左室肥厚率高,是非高血压人群的7.5～70倍,多种危险因素集合出现显示总危险度增加,有效治疗后,部分危险因素得到控制。结论应该有效地控制血压及重视对中老年重度高血压的心血管危险因素的纠治,以改善短期及长期预后。Objective To analyze the clinical characteristics of Stage 3 essential hypertension in the middle-elderly patients and to explore the clinical control of cardiovascular disease risk factors. Methods 108 middle-elderly patients with stage 3 EH who diagnosed from 2000 to 2001 in our hospital were retrospectively analyzed. Result there were 108 cases of stage 3 EH patiens with a male to female ratio of 0.6：1. There was very lower control rate of hypertension and very higher frequency of wide pulse pressure in these patients, 76% of patients had wide pulse pressure which was over 80mmHg. There was higher prevalance rate of left ventricular hypertrophy in middle-elderly patients with stage 3 EH, which were 7～70folds higher than in a population without hypertension. Cardiovascular disease incidence rate increaced sighnificantly with the number of risk factor clustering in these patients. Some risk factors were controled after effective therapy. Conclusion effectively controlling the blood pressure and correcting the risk factors Cardiovascular disease （CVD） will improve the prognosis.

关 键 词：重度高血压 心血管疾病 危险因素 

分 类 号：R544.1[医药卫生—心血管疾病]