摘要
目的探讨广州军队高龄老年高血压的特点。方法 通过对长期定居广州的退役军人进行人群普查,选择65岁以上患者,按调查表实施问卷调查、体格检查(包括测量卧位及立位后0、2min血压和心率)、动态血压监测,然后依不同年龄分组分别对高血压患病率、认知度、体位性低血压(OH)及血压晨峰现象的发生率作比较分析。结果 高龄老年(≥80岁)人群高血压患病率为70.1%,知晓率为99.7%,治疗率为96.3%,控制率(血压<140/90mmHg)为58.1%。高龄老年高血压人群OH和血压晨峰的发生率均高于高龄老年非高血压人群(30.1%比19.1%;22.3%比14.3%,均P=0.001)。结论 广州军队退役军人高龄老年高血压患病率较高,OH和血压晨峰现象常见,应重视其诊断和治疗。
Objective To explore the characteristics of hypertension in the very elderly veterans in Guangzhou. Methods Veterans aged 65 years and older who settled in Guangzhou were admitted to the health screening research through the questionnaire survey, physical examination （including the blood pressure and heart rate insupine position and at 0 and 2 min after standing） and ambulatory blood pressure monitoring （ABPM）. Comparative analysis had been made on the prevalence and awareness of hypertension, orthostatic hypotension （OH） and morning blood pressure surge （MBPS） on the basis of different age groups. Results The prevalence, awareness, treatment and control （blood pressure 〈140/90 mm Hg） rate of hypertension in very elderly people were 70.1%, 99.7%, 96.3% and 58.1% respectively. The prevalence of OH and MBPS in the very elderly hypertensive patients were higher than those in very elderly normotensive subjects （ 30.1% vs 19.1%; 22.3% vs 14.3%, both P = 0. 001 ）. Conclusion The prevalence of hypertension is high in the very elderly veterans in Guangzhou. OH and MBPS are common characteristic in the very elderly hypertensives.
出处
《中华高血压杂志》
CAS
CSCD
北大核心
2011年第6期557-560,共4页
Chinese Journal of Hypertension
基金
广东省2009科技计划项目(2009B030801279)
广东省科技计划重点项目(2010B03150015)
关键词
高龄老年
高血压
体位性低血压
血压晨峰
特点
The very elderly
Hypertension
Orthostatic hypotension
Morning blood pressure surge
Characteristics
