102名百岁老人血压与生活质量的关系  

Blood Pressure and the Quality of Life in Centenarians

作　　者：闫志晖[1] 赵子彦[1] 付越榕[2] 张峰[2] 李静[1] 李慧颖[2] 

机构地区：[1]山东省医学科学院药物研究所,山东省抗衰老研究中心 [2]山东省医学科学院附属医院特检科,山东济南250062

出　　处：《中华高血压杂志》2009年第4期306-309,共4页Chinese Journal of Hypertension

基　　金：济南市老龄委百岁以上老人问卷调查项目

摘　　要：目的调研济南市百岁老人血压状况及对健康相关生活质量的影响。方法以入户调研方式对济南市百岁及以上老年人109人[女96人、男13人,年龄(101.9±2.0)岁]的生活状况、躯体健康状况、生活活动能力和认知能力等进行问卷调查并测量了102人的血压。结果百岁老人109名中29.4%基本健康(没有重大疾病或临床诊断疾病),19.3%罹患心脑血管疾病,11%曾患脑卒中;102名百岁老人平均血压(SBP/DBP/PP)为(151.8±32.5)/(79.1±14.5)/(72.8±26.4)mmHg,其中67.6%老人血压高于成人高血压诊断标准(140/90mmHg);血压升高组中有22人(22/102,21.5%)的SBP≥180mmHg,并有8人(8/102,7.8%)的SBP≥200mmHg;日常生活能力量表(ADL)评测显示SBP100～119mmHg或DBP70～79mmHg的老人生活活动能力明显低于SBP≥120mmHg或DBP≥80mmHg者(P<0.01或P<0.05)。结论长寿老人的血压在一定范围内升高可能对健康有益,长寿老人的血压正常范围与高血压诊断标准尚待进一步研究探讨。Objective To investigate the blood pressure（BP} and quality of life in the centenarians lived in Ji- nan. Methods Survey and questionaires were carried out on 109 centenarians （96 women, 13 men）, average {101.9±2.0） years old. Their living quality, health status, medical histories and activities of daily living {ADL} were studied. BP was measured in I02 subjects. Results 29.4% subjects were in apparently good health without serious clinical diseases, 19.3 ± had cardio-cerebrovascular disease with 11% stroke ; means of BP（ SBP/DBP/PPlin 102 subjects were （ 151.8± 32.5 ）/（ 79.1 ±14.5 ）/{ 72.8 ± 26.4 ） mmHg, 67.6% were dignosed as hypertension based on contemporary criteria[≥140/90 mmHg） ; SBP±180 mmHg was found in twenty-two subjects{ 22/102, 21.5%）, BP≥200 mmHg in 8 （7.8% ）. Analysis results showed that the ADL scores in SBP ≥120 mmHg or DBP 380 mmHg centenarians were significantly better than those in SBP 100--119 mmHg or DBP 70--79 mmHg （P〈0.01 or P〈0.05）. Conclusion In oldest old people, higher BP might be beneficial for their health. The ＂normal BP＂ values and diagnostic criteria for hypertension in various cohort of aged people need revised in accordeance with patients＇ age.

关 键 词：高血压 血压 百岁老人 长寿 健康相关生活质量 

分 类 号：R195[医药卫生—卫生统计学]