哈尔滨市部分军地老年原发性高血压病对比调查  

Comparison of primary hypertension between the aged population in army sanatoria and the aged persons in Harbin

作　　者：彭整军[1] 张孝忠[1] 高光华[1] 肖莎[1] 李龙延[1] 

机构地区：[1]中国人民解放军第二一一医院,黑龙江哈尔滨150080

出　　处：《中华老年心脑血管病杂志》2002年第5期307-309,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的　进一步探讨老年原发性高血压病人群防治方法。方法　对比调查哈尔滨市 7个军队干休所 ,2个居民小区≥ 6 0岁的老年人 132 9人 ,研究老年人原发性高血压病流行病学特点。结果　受检老年人 132 9人共查及原发性高血压病 5 5 3例 ,其中军队干休所 775人检出原发性高血压病 311例 (40 .13% ) ,全部知晓病情并服药治疗 ,以硝苯地平、复方降压片为主 2 99例 (96 .14 % ) ,血压达控制水平 30 5例 (98.0 7% ) ;居民小区 5 5 4人检出原发性高血压病 2 4 2例(43.6 8% ) ,病情知晓 2 0 9例 (86 .36 % ) ,以服用降压片、降压乐、牛黄降压丸为主 ,服药治疗者 93例 (38.4 3% ) ,血压达控制水平 2 1例 (8.6 8% )。两组老年人高血压病患病率差异无显著性意义 (P >0 .0 5 ) ,治疗率与控制率差异有极显著性意义 (P <0 .0 1)。军队干休所老年人与同年龄组地方居民比较生活质量高 ,平均寿命长。结论　在老年高血压病人群防治中坚持方便、经济、有效。Objective To further investigate the methods of prevention and treatment of primary hypertension in the aged population.Methods 1?329 old people (age≥60 years) from 7 army sanatoria and 2 residential blocks were investigated to compare the epidemiological features of primary hypertension.Results Of the 553 have been diagnosed to have primary hypertension 1?329 people,with 311 patients (40.13%) from 775 people living in army sanatoria, and 242 patients (43.68%) from 554 people living in residential blocks respectively. All patients from army sanatoria knew about their diagnosis and accepted treatment with nifedipine and compocund Jiangyapian.The BP in 305 of them(98.07%) got controlled. Only 209(86.36%) patients from residential blocks knew about their diagnosis and 93( 38.43 %) accepted treatment with Jiangyapian, Jiangyale, Jiangyawan.The BP in 21(8.68%)of them got controlled. No significant difference in hypertension incidence was found between the two aged groups(P>0.05),but the rate of treatment and the results between them were different significantly (P<0.01).The results indicated that the aged patients in the army sanatoria had a better living quality and longer life span than those living in common residential blocks.Conclusion The continuous, economical, convenient and effective protocol is best for controlling hypertention.

关 键 词：哈尔滨 流行病学 老年人 原发性高血压 

分 类 号：R544.1[医药卫生—心血管疾病]