老老年高血压病人舒张压与血红蛋白、红细胞比容的相关性分析  

Correlation of Diastolic Blood Pressure with Hemoglobin and Hematocrit in Very Elderly Hypertensive Patients

作　　者：李偲偲[1] 胡元会[1] 魏艺[1] 杜柏[1] 褚瑜光[1] 李可[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《中西医结合心脑血管病杂志》2016年第9期936-939,共4页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：国家中医药管理局国家中医药临床研究基地业务建设科研专项课题(No.JD2X2012109)

摘　　要：目的探讨老老年高血压病人不同舒张压(DBP)分级与血红蛋白、红细胞比容的相关性。方法选择老老年高血压病人169例,均询问病史、行血常规、生化检查和动态血压监测;按照24 h平均舒张压水平分为5组:1组(DBP≥80 mm Hg)17例,2组(DBP 70 mm Hg^79 mm Hg)23例,3组(DBP 60 mm Hg^69 mm Hg)58例,4组(DBP 50 mm Hg^59 mm Hg)62例,5组(DBP<50 mmHg)9例。比较各组间血红蛋白、红细胞比容等指标。结果各组血红蛋白水平比较:1组(137.53 g/L±16.46 g/L)>2组(133.37 g/L±15.08 g/L)>3组(128.39 g/L±17.91 g/L)>4组(120.61 g/L±16.03 g/L)>5组(120.38 g/L±13.38 g/L);各组红细胞比容比较:1组[(64.65±95.83)%]>2组[(40.06±3.86)%]>3组[(38.32±5.18)%]>5组[(36.10±3.24)%>4组[(36.08±4.68)%]。经相关性分析结果显示:舒张压与血红蛋白(r=0.313,P=0.000)、红细胞比容(r=0.196,P=0.01)呈正相关。结论老老年高血压病人DBP水平与红细胞比容、血红蛋白呈显著相关性,红细胞比容、血红蛋白水平随DBP水平的增高而明显增高。故在老老年高血压病人的临床诊疗中,对血红蛋白、红细胞比容的观测有着重要的参考价值。Objective To investigate the relationship between diastolic blood pressure and hemoglobin,hematocrit in very elderly hypertensive patients.Methods Two hundreds and fifty-nine very elderly hypertensive patients were selected and asked about the history,routine blood test,biochemical tests and ambulatory blood pressure monitoring,then were divided accordance with the 24-hour average diastolic pressure level：group 1 with levels of ≥80 mm Hg,group 2 set of 70 to 79 mm Hg,group 3 set of 60 to 69 mm Hg,group 4 set of 50 to 59 mm Hg,group5 set of 50 mm Hg.The levels of hemoglobin,hematocrit of different dynamic diastolic blood pressure were compared.Results The level of hemoglobin was（ 137.53±16.46） g / L in group 1,（ 133.37±15.08） g / L in group 2,（ 128.39±17.91） g / L in group 3,（ 120.61±16.03） g /L in group 4,（ 120.38±13.38） g / L in group 5.The level of hematocrit was（ 64.65±95.83） % in group 1,（ 40.06±3.86） % in group 2,（ 38.32±5.18） g/L in group 3,（ 36.08±4.68） g/L in group 4,（ 36.10±3.24） g/L in group 5.Correlation analysis showed that there was a positive correlation between hemoglobin（ P = 0.000）,hematocrit（ P = 0.01） and different levels of diastolic blood pressure in very elderly hypertensive patients.Conclusion There is a significant correlation between hemoglobin,hematocrit and different levels of diastolic blood pressure in very elderly hypertensive patients,the level of hemoglobin,hematocrit increased notablely with levels of diastolic blood pressure.Observation of hemoglobin and hematocrit has important reference value in clinical diagnosis and treatment.

关 键 词：高血压 老老年 舒张压 血红蛋白 红细胞比容 

分 类 号：R544.1[医药卫生—心血管疾病] R255.3[医药卫生—内科学]