白领高血压特点及处理  

The characteristics and treatment of white-collar workers with hypertension

作　　者：刘国树[1] 薛浩[1] 刘晔[1] 张锦佳[1] 张明华[1] 

机构地区：[1]解放军总医院心内科,北京100853

出　　处：《中国实用内科杂志》2012年第1期15-17,共3页Chinese Journal of Practical Internal Medicine

摘　　要：本文总结了近十余年来对白领高血压临床研究结果。初步认为青壮年白领高血压特点:(1)白领高血压特点以舒张压增高者及脉压小为主,收缩压和舒张压同时增高及单纯收缩压增高者相对较少。(2)心率偏快。(3)临床多有乏力、胸闷、头晕、周身不适等症状。(4)心脏后前位像显示升主动脉增宽者多。(5)肾上腺素能α、β-受体阻滞剂治疗效果较好。而老年白领工作者舒张压随年龄增长而逐渐降低,脉压逐渐加大,单纯收缩期高血压者逐渐增多。其特点与普通老年高血压人群基本相似。白领高血压在治疗上应根据患者不同年龄段的不同特点进行有针对性的防治。Summary：This study summarizes the clinical research results of white-collar hypertension in recent ten years. We prelimi- narily believed that white-collar hypertension has five following features among the young people： （ 1 ） White-collar hyper- tension is more common in people with increased diastolic blood pressure （DBP） and lower pulse pressure but relatively less in people with simultaneously increased systolic pressure and DI^P and people with simply increased systolic pressure; （2） The faster heart rate （HR） ;（3 ） Symptoms such as fatigue, chest tightness, dizziness and whole body discomfort are commonly seen in clinic;（4 ~ The posteroanterior heart imagining reveals that the broadened ascending aorta is common; （5） The administration of ~ and ^-adrenergic receptor b!ocker has a favorable effect. Nevertheless, DBP is gradually de- creased along with the increased age in the old white-collar workers, while the pulse pressure increased, with isolated systolic hypertension （ISH） patients gradually increasing. The characteristics of hypertension in old white-collar Workers were basi- cally similar to those in ordinary elderly patients. Thereby, the targeted prevention and treatment should be given according to the different characteristics in different age stages.

关 键 词：白领高血压 Β-受体阻滞剂 

分 类 号：R544.1[医药卫生—心血管疾病]