高龄卒中后高血压患者的临床特征与危险因素分析

Clinical Features and Risk Factors of Elderly Patients with Post-stroke Hypertension

目的探讨高龄卒中后高血压患者的临床特征和危险因素。方法回顾性分析300例高龄脑卒中住院患者的临床资料,比较不同性别、年龄、病变患者的血压变化,分析高龄卒中患者的临床特点与血压变化规律,探讨其影响因素。结果高龄组患者的肢体瘫痪、意识障碍发生率高,头痛、呕吐发生率低;卒中后高血压以中、重度为主,收缩压升高明显;危险因素中高血压、糖尿病、吸烟、酗酒比例降低,冠心病比例增高,肺部感染比例明显增高。结论高龄卒中患者的危险因素与非高龄患者不同,有其独特的卒中后血压变化规律与临床特征。

Objective To investigate the clinical features and risk factors of elderly hospitalized patients with post-stroke hypertension （PSH）. Methods The data including sex, age and blood pressure of 300 elderly PSH patients were analyzed retrospectively to find out the influence factors related to PSH. Results Compared with younger patients, the elderly patients had lower incidence of limb paralysis, disturbance of consciousness, while high frequency of headache and emesis on admission; hypertension, diabetes, smoking and alcohol abuse were significantly less frequent, while coronary heart disease and pneumonia were more common in elderly patients. Blood pressure especially systolic pressure of elderly PSH patients raised obviously . Conclusion Elderly stroke patients have distinctive risk factors and clinical features, which are different from younger patients.