广州军队高龄老年高血压的特点  

The characteristics of hypertension in the very elderly veterans in Guangzhou

作　　者：谢志泉[1] 林仲秋[1] 王银玲[1] 冯国飞[1] 钱云峰[1] 吴自强[1] 潘春梅[1] 蔡艳军[1] 邵尉[1] 王晓会[1] 周培毅[1] 

机构地区：[1]广州军区广州总医院老年心血管病科(干部病房四科),广东510010

出　　处：《中华高血压杂志》2011年第6期557-560,共4页Chinese Journal of Hypertension

基　　金：广东省2009科技计划项目(2009B030801279);广东省科技计划重点项目(2010B03150015)

摘　　要：目的探讨广州军队高龄老年高血压的特点。方法 通过对长期定居广州的退役军人进行人群普查,选择65岁以上患者,按调查表实施问卷调查、体格检查(包括测量卧位及立位后0、2min血压和心率)、动态血压监测,然后依不同年龄分组分别对高血压患病率、认知度、体位性低血压(OH)及血压晨峰现象的发生率作比较分析。结果 高龄老年(≥80岁)人群高血压患病率为70.1%,知晓率为99.7%,治疗率为96.3%,控制率(血压<140/90mmHg)为58.1%。高龄老年高血压人群OH和血压晨峰的发生率均高于高龄老年非高血压人群(30.1%比19.1%;22.3%比14.3%,均P=0.001)。结论 广州军队退役军人高龄老年高血压患病率较高,OH和血压晨峰现象常见,应重视其诊断和治疗。Objective To explore the characteristics of hypertension in the very elderly veterans in Guangzhou. Methods Veterans aged 65 years and older who settled in Guangzhou were admitted to the health screening research through the questionnaire survey, physical examination （including the blood pressure and heart rate insupine position and at 0 and 2 min after standing） and ambulatory blood pressure monitoring （ABPM）. Comparative analysis had been made on the prevalence and awareness of hypertension, orthostatic hypotension （OH） and morning blood pressure surge （MBPS） on the basis of different age groups. Results The prevalence, awareness, treatment and control （blood pressure 〈140/90 mm Hg） rate of hypertension in very elderly people were 70.1%, 99.7%, 96.3% and 58.1% respectively. The prevalence of OH and MBPS in the very elderly hypertensive patients were higher than those in very elderly normotensive subjects （ 30.1% vs 19.1%; 22.3% vs 14.3%, both P = 0. 001 ）. Conclusion The prevalence of hypertension is high in the very elderly veterans in Guangzhou. OH and MBPS are common characteristic in the very elderly hypertensives.

关 键 词：高龄老年 高血压 体位性低血压 血压晨峰 特点 

分 类 号：R82[医药卫生—临床医学]