摘要
目的了解因高血压住院患者的病因组成，并比较患者的相关临床特点。方法对1999～2005年因高血压住本院的所有病例进行回顾性研究。并对患者的年龄、体重指数、收缩压和舒张压以及是否合并脂代谢异常、左室高电压和低钾血症等进行比较。结果①出院确诊为原发性高血压（EH）者占63．4％，继发性高血压（SH）者占25．3％；②SH中内分泌性高血压占82％，肾血管性高血压占9％，肾性高血压占8％；③内分泌性高血压中原发性醛固酮增多症占75％，嗜铬细胞瘤占17％；④sH患者的年龄小、舒张压高、体重指数低；⑤SH的构成比在20～30岁年龄段最高（62．5％），在3级舒张压时最高（34．1％），在肥胖人群中最低（20．9％）；⑥SH患者合并脂代谢异常者少，合并左室高电压者和低钾血症者多。结论EH仍是住院高血压患者的主要病因，但SH尤其是内分泌性高血压的比例也不容忽视。患者年龄小、舒张压高，合并低钾血症、左室高电压时提示SH可能。
Objective To study the etiology of inpatients due to hypertension and to compare clinical features of seeondary hypertension and essential hypertension. Methods Retrospective study was performed on all patients hospitalized in internal wards of Peking University First Hospital due to hypertension from 1999 to 2005. The clinical conditions including age, body mass index, systolic blood pressure, diastolic blood pressure and complications such as dyslipidemia, cerebrovascular disease, renal failure, left ventricular hypertrophy and hypokalemia were compared among secondary hypertension and essential hypertension. Results ①Discharge diagnosis comprised 63.4% of essential hypertension（EH） and 25.3% of secondary hypertension （SH） ;②There were 82% of endocrine hypertension ,9% of renovascular hypertension,8% of renal hypertension in SH patients;③Endocrine hypertension included primary aldosteronism（ 75% ） and pheochromocytoma（ 17% ） ;④The patients with SH were younger, slimmer and had higher diastolic blood pressure;⑤The prevalence of SH approached top in twenties （age） , in grade 3 （diastolic blood pressure）, and was significantly low in obese patients ; ⑥Complications concerned, left ventricular hypertrophy and hypokalemia were more common ,while dyslipidemia was fewer in SH. Conclusion EH remained major part among inpatients duo to hypertension. Endocrine hypertension should be paid more attention. Patients who were young, involved higher diastolic blood pressure indicated SH.
出处
《中国医刊》
CAS
2007年第12期33-35,共3页
Chinese Journal of Medicine
关键词
高血压
病因
临床研究
Hypertension
Etiology
Clinical study
