1360例高血压患者并存疾病分析

The comorbidity of hypehension in 1360 cases

目的探讨高血压患者伴随年龄增长,相关并存疾病变化的关系。方法回顾性分析2003年6月至2011年6月在我院进行体检确诊的1360例高血压患者的临床资料,按年龄分为青年组(18～30岁)、中青年组(31～59岁)、老年组(60～79岁以及老年高龄组(80～87岁),分析高血压患者并存疾病情况,并且比较伴随年龄增加这些并存疾病的变化。结果糖尿病的发生率伴随着年龄的增加而增加,但是在80岁以上的老年患者统计出现了下降,这种趋势同时包括冠心病、高脂血症,心功能不全以及肾功能不全。而在OSAS和脑卒中的高血压患者中,这二种并存疾病却一直都伴随着年龄的增加而增加。经过对比检验分析,除心功能不全青年组和中年组外,其余各组,差异有统计学的意义(P<0.05)。结论高血压患病率随增龄而增加,中青年高血压患者除了要积极参与降压外,同时应该养成良好的习惯,以防止或者延缓相关并发症的发生。

Objective Study the high blood pressure and the change of the disease coexist relationship with age increased. Methods Retrospective analysis material that from June 2007 to June 2011 in our hospital passed medical examination identified 1360 cases patients with high blood pressure clinical, according to the age into young group （18~30 years old）, middle-aged and young group （31 and 59 years old）, the elderly group （60 to 79 years of age and older group （80~87 years old）, patients with high blood pressure analysis, and a comparison coexist disease they change trend.Results The incidence of diabetes with increase of age and increased, but over the age of 80 elderly patients had fallen, this trend also included, hyperlipidemia, coronary heart disease, cardiac dysfunction and renal dysfunction. And in OSAS and stroke in patients with high blood pressure, but always with both increase with the increase by age. Comparison test analysis, in addition to cardiac dysfunction and middle-aged youth group,the rest of the group,had the meaning of statistics（P〈0.05）. Conclusion High blood pressure with increased age increased morbidity, middle-aged and young patients with high blood pressure in addition to actively participate blood pressure, and should get into a good of habit, can prevent or delay the related complications.