老年原发性高血压的临床诊断及治疗体会  

Clinical Diagnosis and Treatment of Elderly Patients with Essential Hypertension

作　　者：刘丽娜 LIU Li'na(Physical Examination Center,Longwan District,Huludao City Central Hospital,Huludao 125001,China)

机构地区：[1]辽宁省葫芦岛市中心医院龙湾院区体检中心,辽宁葫芦岛125001

出　　处：《中国医药指南》2020年第32期8-9,12,共3页Guide of China Medicine

摘　　要：目的分析对老年人原发性高血压患者的临床诊断方法,同时总结对老年人原发性高血压患者的相关治疗措施,以便为临床干预工作提供科学依据。方法本文立项时间为2017年2月至2018年11月,选择在此期间来我院进行治疗的经临床确诊为老年原发性高血压的患者86例为调查对象,对所有患者的临床资料进行回顾性分析,总结对患者的诊断方法,同时将所有患者按照奇、偶数的方法分为观察组与对照组,每组平均43例。对照组患者应用卡托普利进行治疗,观察组患者应用依那普利治疗,评价两种不同治疗方法之下的患者治疗效果。结果常规对患者进行肝肾功能的检查,并做好血压监测工作,可有效实现对老年人原发性高血压的临床诊断。治疗前观察组的收缩压为(170.21±12.05)mm Hg,对照组为(171.25±12.08)mm Hg,P>0.05;治疗以后,观察组的收缩压为(123.0±4.5)mm Hg,对照组为(124.5±4.6)mm Hg,P>0.05。治疗以前观察组的舒张压为(102.50±6.21)mm Hg,对照组为(101.61±5.41)mm Hg,P>0.05;治疗以后,观察组舒张压为(82.05±3.15)mm Hg,对照组为(83.06±3.02)mm Hg,P>0.05;经过不同治疗,观察组血压控制优良41例,血压控制优良率为95.35%,对照组血压控制优良率40例,血压控制优良率为93.02%,P>0.05,无差异;观察组出现不良反应2例,发生率为4.65%,对照组出现不良反应11例,发生率为25.58%,P<0.05,存在统计学意义;观察组的肾功能指标明显优于对照组,P<0.05,存在统计学差异性。结论常规入院对老年人原发性高血压进行诊断具有典型的应用价值,通过依那普利对老年人原发性高血压患者进行治疗可有效的稳定患者的血压,同时也不会产生严重的不良反应,对于维持患者的肾功能具有较好的价值。Objective Analyze the clinical diagnosis methods for elderly patients with primary hypertension,and summarize the relevant treatment measures for elderly patients with primary hypertension,so as to provide scientifi c basis for clinical intervention.Methods This article was initiated from February 2017 to November 2018.During this period,86 patients who were clinically diagnosed with elderly essential hypertension who came to our hospital for treatment were selected as the survey objects,and the clinical data of all patients were reviewed.Sexual analysis,summarizing the diagnosis methods for patients,and dividing all patients into observation group and control group according to odd and even numbers,with an average of 43 cases in each group.The patients in the control group were treated with captopril,and the patients in the observation group were treated with enalapril.The treatment eff ects of the two diff erent treatment methods were evaluated.Results Routinely check the liver and kidney function of patients,and do a good job in blood pressure monitoring,which can eff ectively realize the clinical diagnosis of primary hypertension in the elderly.Before treatment,the systolic blood pressure of the observation group was(170.21±12.05)mm Hg,and the control group was(171.25±12.08)mm Hg,P>0.05;after treatment,the systolic blood pressure of the observation group was(123.0±4.5)mm Hg,the control group It is(124.5±4.6)mm Hg,P>0.05.Before treatment,the diastolic blood pressure of the observation group was(102.50±6.21)mm Hg,and the control group was(101.61±5.41)mm Hg,P>0.05;after treatment,the diastolic blood pressure of the observation group was(82.05±3.15)mm Hg,and the control group was(83.06±3.02)mm Hg,P>0.05;after diff erent treatments,41 cases in the observation group had excellent blood pressure control,with an excellent blood pressure control rate of 95.35%,and 40 cases in the control group had an excellent blood pressure control rate,with an excellent blood pressure control rate of 93.02%,P>0.05,no diff er

关 键 词：老年原发性高血压 临床诊断 治疗体会 

分 类 号：R544.1[医药卫生—心血管疾病]