目的　探讨高血压病与糖、脂代谢异常及心肌损害的关系。方法　选择 180例高血压患者分别检测血糖、血脂 ,并行 12导联心电图检查 ,进行分类比较。结果　高血压病程越长 ,高血糖与高血脂发生率越高 (P <0 0 5 ) ,心肌损害也明显增加 ;>6 0岁者高血糖、高血脂及心肌损害发生率明显高于 <6 0岁人群。结论　中老年高血压病易引起糖、脂代谢紊乱和心肌损害 ,临床上应予早期干预 Objective To investigate the relationship between hypertension and glucose, lipid metabolism and myocardial damage. Methods 180 patients with hypertension were detected blood glucose, blood lipid, parallel 12-lead ECG examination, classification comparison. Results The longer the duration of hypertension was, the higher the incidence of hyperglycemia and hyperlipidemia was (P <0.05), and the myocardial damage was also significantly increased. The incidence of hyperglycemia, hyperlipidemia and myocardial damage were significantly higher in patients> 60 years old than <6 0-year-old crowd. Conclusions Hypertension in middle-aged and elderly patients can easily lead to disorders of glucose and lipid metabolism and myocardial damage, and should be treated with early intervention