老年高血压患者的脉压与低密度脂蛋白胆固醇的关系  

Relations between pulse pressure and LDL-C for elderly patients with hypertension

作　　者：陈晴晴[1] 高志广[2] 任国成[2] 刘培敏 杜玉芝[2] 

机构地区：[1]承德医学院 [2]承德医学院附属朝阳市中心医院心内科,辽宁朝阳122000

出　　处：《中国现代医生》2015年第12期19-21,共3页China Modern Doctor

摘　　要：目的：探讨老年高血压患者的脉压与低密度脂蛋白胆固醇的关系。方法将老年高血压患者451例按年龄分为四组，A组：年龄65-69岁；B组：70-74岁；C组：75-79岁；D组：≥80岁。按PP水平分为PP1组≤40 mmHg，PP2组41-60 mm Hg，PP3组61-80 mm Hg，PP4组跃80 mm Hg四组。根据低密度脂蛋白胆固醇（LDL-C）水平分为LDL-C（≥2.6 mmol/L）组1，LDL-C（〈2.6 mmol/L）组2。分析不同年龄段在四个PP水平组的分布情况及不同水平LDL-C对脉压的影响。结果①四个年龄组在PP2组所占比例分别为59.41豫、48.84豫、55.45豫、51.67豫。在PP4组所占比例分别为4.95豫、3.88豫、3.96豫、7.50豫；②与PP1组相比，PP2组、PP3组、PP4组LDL-C≥2.6 mmol/L所占比例明显增高。结论①不同年龄段的PP水平多集中在41-60 mm Hg。跃80 mm Hg组老年高血压患者中老老年（≥80岁）高血压患者所占比例相对较高；②低密度脂蛋白胆固醇是老年高血压患者脉压升高的危险因素。Objective To explore the relations between pulse pressure and LDL-C for elderly patients with hyperten-sion. Methods A total of 451 elderly patients with hypertension were selected and divided into four groups. Group A was 65 to 69 years of age, group B was 70 to74 years of age, group C was 75 to 79 years of age, and group D was ≥80 years of age. They were also divided into four groups according to PP levels： PP1 group ≤40 mm Hg, PP2 group 41 to 60 mm Hg, PP3 group 61 to 80 mm Hg, and PP4 group〉80 mm Hg. They were divided into LDL-C group 1 （≥2.6 mmol/L） and LDL-C group 2 （80 mmHg, the pro-portion of patients with advanced age （≥years of age） is relatively higher. （2） LDL-C is the risk factor of increased pulse pressure for elderly patients with hypertension.

关 键 词：老年 高血压 脉压 低密度脂蛋白胆固醇 

分 类 号：R544.1[医药卫生—心血管疾病]