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目的分析老年高血压患者的危险因素,为制定相关的干预措施提供依据。方法将我院收治的原发性高血压患者84例作为研究组,并选取同期门诊体检的健康人80例作为对照组,84例原发性高血压患者根据1999年WHO高血压诊断治疗标准进行分期,并接受降压药物治疗,其中血压控制理想患者51例,血压控制不理想33例。分析高血压患者的危险因素。结果研究组有高血压家族史、高盐饮食、吸烟及饮酒习惯者明显高于对照组(P<0.05);研究组患者体重、体质指数、甘油三酯、胆固醇等均明显高于对照组,高密度脂蛋白明显低于对照组(P<0.05)。针对患者的危险因素进行积极的干预,并积极接受治疗1年后,研究组中血压控制理想者79例,控制不理想者5例,与干预前比较有统计学意义(P<0.05)。结论高血压家族史、体重较重、体质指数较高、高甘油三脂、高胆固醇、高密度脂蛋白较低等是原发性高血压的危险因素,针对危险因素进行干预可以提高血压的控制率。
Objective To analyze the risk factors of elderly hypertensive patients and provide basis for making relevant interventions. Methods Eighty-four patients with essential hypertension admitted to our hospital were selected as the research group and 80 healthy subjects were selected as the control group during the same period. Eighty-four patients with essential hypertension were diagnosed and treated according to the criteria of 1999 WHO diagnosis and treatment of hypertension Staging, and receiving antihypertensive drugs, including 51 patients with ideal blood pressure control, blood pressure control is not ideal in 33 cases. Analysis of risk factors in patients with hypertension. Results The study group had a high family history of hypertension, high-salt diet, smoking and drinking habits was significantly higher than the control group (P <0.05); body weight, body mass index, triglyceride, cholesterol and other groups were significantly higher than the control group, High-density lipoprotein was significantly lower than the control group (P <0.05). After a year of active intervention for the risk factors of patients and positive treatment, 79 patients with ideal blood pressure control in study group and 5 patients with uncontrolled control were statistically significant (P <0.05) before intervention. Conclusions The family history of hypertension, severe body weight, high body mass index, high triglyceride, high cholesterol and high density lipoprotein are the risk factors of essential hypertension. Intervention on risk factors can improve the control of blood pressure rate.