高龄高血压患者降压达标对心脑血管并发症的影响  

Cardiovascular and cerebrovascular complications in elderly hypertensive patients with controlled blood pressure

作　　者：沙艳梅 

机构地区：[1]云南省大理州人民医院,云南大理671000

出　　处：《心血管病防治知识（学术版）》2013年第4期36-38,共3页Prevention and Treatment of Cardiovascular Disease

摘　　要：目的分析高龄高血压患者降压达标对心脑血管并发症的影响。方法随机选取2008年11月-2010年11月收治的高龄高血压患者120例,分为观察组与对照组,每组各60例,观察组采用药物以及自我管理方式进行综合治疗,对照组单纯采用自我管理方式治疗;观察组均为治疗后血压达标患者,对照组为治疗后血压仍偏高患者,对两组患者治疗后继续随访3年,对两组患者发生心脑血管并发症的情况进行对比分析。结果观察组心脑血管并发症总发生率为13.3%,对照组心脑血管并发症总发生率为31.7%;观察组心脑血管并发症发生率明显减低,差异性显著(P<0.05)。结论高龄高血压患者降压达标利于减少心脑血管并发症的发生几率,对高龄高血压患者及时采用有效措施加强血压控制具有重要的临床意义。Objective To investigate the cardiovascular and cerebrovascular complications in elderly hypertensive patients with controlled blood pressure. Methods A total of 120 elderly patients with hypertension, who were admitted to our hospital from November 2008 to November 2010, were randomly selected and divided into observation group （n = 60） and control group （n = 60）. The observation group was treated by medication and self management, while the control group was treated by self management alone. The blood pressure of each patient in observation group was controlled, but the blood pressure of each patient in control group was still higher than normal. Both groups were followed up for 3 years after treatment and compared in terms of the incidence of cardiovascular and cerebrovascular complications. Results The observation group had a significantly lower overall incidence rate of cardiovascular and cerebrovascular complications than the control group （13.3% vs 31.7%, P〈O.05）. Conclusion The incidence rate of cardiovascular and cerebrovascular complications is reduced in the elderly hypertensive patients with controlled blood pressure. Timely effective measures for enhancing blood pressure control are of great clinical significance for elderly hypertensive patients.

关 键 词：高龄 高血压 心脑血管并发症 影响 

分 类 号：R544.1[医药卫生—心血管疾病]