眩晕合并高血压急诊住院患者临床特征分析  

Clinical analysis of emergency hospitalized patients with vertigo and hypertension

作　　者：倪军喜[1] 孙津津 郑冉冉 谢丰建 李毅[2] NI Junxi;SUN Jinjin;ZHENG Ranran;XIE Fengjian;LI Yi(Department of Emergency Internal Medicine,Chizhou People’s Hospital of Anhui Province,Chizhou,Anhui,247100,China;Department of Emergency,Peking Union Medical College Hospital)

机构地区：[1]安徽省池州市人民医院急诊内科,安徽池州247100 [2]北京协和医院急诊科

出　　处：《临床急诊杂志》2021年第2期141-145,共5页Journal of Clinical Emergency

基　　金：国家自然科学基金(No:81550034);国家临床重点专科建设项目(No:卫办医政函[2012]650)。

摘　　要：目的:研究急诊住院眩晕合并高血压患者的临床特点,提高对该类患者的诊断能力及预后判断。方法:收集2014年1月1日—2017年12月31日安徽省池州市人民医院急诊内科收治的眩晕患者400例,其中高血压患者158例为高血压组,血压正常242例为血压正常组。将两组的性别、年龄、吸烟史、饮酒史、眩晕类型、头颅磁共振(MRI)阳性结果数量、颈椎磁共振阳性结果数量、颈部超声阳性结果数量、甘油三酯(TG)、胆固醇(CHOL)、血糖、血清钠、血清钾、血清氯、血清白蛋白、肝功能、肾功能、血红蛋白、血小板、白细胞及住院时间和住院费用进行对比分析。结果:高血压组年龄较血压正常组大(P<0.05),高血压组中枢性眩晕(16/158)发病率较血压正常组(1/242)明显增高(P<0.05),头颅MRI阳性例数(124/158)较血压正常组例数(124/242)明显增多(P<0.05),颈部血管超声阳性例数(67/158)较血压正常组(75/242例)明显增多(P<0.05),高血压组血糖(8.14±2.05 mmol/L)较血压正常组(5.44±1.33 mmol/L)高(P<0.05),高血压组血清钾(3.14±0.41 mmol/L)较血压正常组(3.73±0.38 mmol/L)低(P<0.05),高血压组住院时间(4.71±2.48 d)较血压正常组(3.97±1.71 d)时间延长(P<0.05),高血压组住院费用(3844.18±1980.71元)较血压正常组(3248.35±1252.78元)明显增多(P<0.05)。结论:高龄、中枢性眩晕多发、头颅MRI及颈部血管超声异常数量增多、血糖高、血清钾低是眩晕合并高血压患者的临床特点,眩晕合并高血压患者住院时间延长,住院费用增加。Objective: To study the clinical characteristics of patients with emergency inpatient vertigo complicated with hypertension, and to improve the diagnostic ability and prognosis of these patients. Methods: Four hundred patients with vertigo admitted to the emergency department of our hospital from January 1, 2014 to December 31, 2017 were collected, including 158 patients with hypertension in the hypertension group and 242 patients with normal blood pressure in the normal blood pressure group. For the two groups, gender, age, smoking history, history of drinking, the types of dizziness, head Magnetic Resonance Imaging(MRI) number of positive results, cervical spine MRI number of positive results, neck ultrasound number of positive results, triglyceride, cholesterol, blood glucose, serum sodium, serum potassium, chlorine, serum albumin, liver function, renal function, hemoglobin and platelets, white blood cells, and length of hospital stay and expenses of hospitalization were analyzed. Results: The incidence of central vertigo(16/158) in the hypertension group was significantly higher than that in the normal group(1/242)(P<0.05). The incidence of positive cephalic MRI results(124/158) in the hypertension group was significantly higher than that in the normal group(124/242)(P<0.05). The incidence of positive cervical ultrasound results(67/158) in the hypertension group was significantly higher than that in the normal group(75/242)(P<0.05). Blood glucose in the hypertension group(8.14±2.05 mmol/l) was higher than that in the normal group(5.44±1.33 mmol/L)(P<0.05), serum potassium in the hypertension group(3.14±0.41 mmol/L) was lower than that in the normal group(3.73±0.38 mmol/L)(P<0.05), and hospitalization time in the hypertension group(4.71±2.48 days) was longer than that in the normal group(3.97±1.71 days)(P<0.05). Hospitalization expenses in the hypertension group(3844.18±1980.71 yuan) were significantly higher than those in the normal group(3248.35±1252.78 yuan)(P<0.05). Conclusion: Advanced age, multip

关 键 词：急诊 眩晕症 高血压 临床分析 

分 类 号：R459.7[医药卫生—急诊医学]