98例老年人高血压临床分析

Clinical analysis of 98 cases of elderly hypertension

目的:探讨分析老年人高血压的临床特点,在临床上提高对老年人高血压的诊疗水平。方法:回顾性分析本院2009年6月～2010年6月收治的98例60岁以上的老年高血压患者的临床资料。结果:98例患者以头昏、头痛、心悸、气促多见;其中85%的患者有合并症如脑卒中、蛋白尿、冠心病、高心病等,经1个月左右临床治疗好转出院93例占94.90%,血压控制在收缩压<150mmHg,舒张压>65mmHg;临床死亡5例占6.85%,其中脑卒中2例,心肌梗死2例,多器官衰竭1例。结论:老年人高血压的合并症多,临床治疗要有效地控制血压,减少血压波动,减少靶器官的损害,从而进一步降低该病的病死率,改善预后。

Objective： To analyse the clinical features of hypertension in the elderly, improve the clinical diagnosis and treatment of hypertension in the elderly. Methods： Retrospective analyzed the hypertension in our hospital from June 2009 to June 2010 of 98 cases treated over the age of 60 hypertensive patients with clinical data. Results： Most of the 98 patients with dizziness, headache, palpitations, shortness of breath more common; The patients of 85% had complications such as stroke, proteinuria, coronary heart disease, hypertensive heart disease, etc.. After a month through improved clinical treat- ment accounted for 93 cases discharged 94.90%, systolic blood pressure control within 150mmHg, diastolic blood pres- sure〉 65mmHg; 5 deaths accounted for the clinical was 6.85%, and which 2 cases of stroke, and myocardial infarction in 2 cases, and multiple organ failure in 1 case. Conclusion： The elderly hypertension more complications and clinical treat- ment to effectively control blood pressure and reduce blood pressure and reduce target organ damage. Make further reduc- ing disease mortality and improve prognosis.