高血压患者心血管危险性分层与治疗情况分析

Cardiovascular Risk Stratification and Analysis of Treatment for Hypertension

目的:探讨高血压患者的心血管危险性分层对治疗效果的指导意义。方法:选取2010年5月至10月住院高血压患者126例,仔细询问病史并体检,对危险性进行分层,并给予相应的治疗。3个月后复诊,与治疗前进行对比,观察治疗效果。结果:126例高血压患者,治疗前高危组73例(57.9%)、中危组40例(31.8%)、低危组13例(10.3%)。治疗后高危组19例(15.1%)、中危组82例(65.1%)、低危组25例(19.8%),治疗后高危组百分比明显下降(p1<0.01)、低危组百分比上升(p2<0.05)。结论:对高血压患者进行心血管危险性分层,可以指导高血压病的治疗,减少心血管并发症的发生。

Objective： To discuss the significance of cardiovascular risk stratification for the hypertensive treatment.Method： Selected 126 cases from May 2010 to October hospitalized patients with hypertension,careful history taking and physical examination,stratification of risk and provided treatment accordingly,referral after 3 months,compared with before treatment,then observed the therapeutic effect.Result： 126 cases of hypertension,high-risk groups before treatment with 73 cases（57.9%）,intermediate risk group with 40 patients（31.8%）,low-risk group with 13 patients（10.3%）.High-risk group after treatment in 19 patients（15.1%）,the intermediate risk group in 82 patients（65.1%）,low-risk group of 25 patients（19.8%）,It significantly decreased the percentage of high-risk group（p1 〈0.01）,increased the percentage of low-risk group（p2 〈0.05）.Conclusion： Hypertension with cardiovascular risk stratification can guide the treatment of hypertension and reduce cardiovascular complications.