脉压不同对老年高血压患者心脑血管事件的影响

Effect of different pulse pressures on the treatment of senile hypertension

目的探讨脉压水平不同对老年高血压患者心脑血管事件的影响。方法对62例老年患者进行临床基本资料比较;同时依据脉压不同进行分组,比较其发生卒中、心肌梗死、总病死率等心脑血管危险事件。结果在脉压差≥60 mm Hg组(n=40)患者心脑血管危险因素明显较脉压差<60 mm Hg组高,且患者发生卒中、心肌梗死及总病死率(23例,17例,20%)明显高于脉压差<60 mm Hg组(3例,2例,2%),差异有统计学意义(P<0.05)。结论老年高血压患者脉压增大与卒中、心肌梗死和总病死率呈正相关,平稳持久控制血压对老年高血压患者有着重要意义。

Objective To study the effect of pulse pressure on the treatment of senile hypertension. Methods Sixty - two samples were selected and divided into two groups on the basis of different pulse pressures, at the same time, the difference between the 2 groups were analyzed in the percentages of happening of cardiovascular and cerebrovascular danger such as apoplexy, strokes and death. Results The percentage of happening of apoplexy （23 cases） , strokes （ 17 cases） and mortal- ity rate（20% ） in the group （n =40） which pulse pressures more than or equal to 60 mm Hg was obviously（P 〈 0. 05 ） higher than that of the other group which pulse pressures were less than 60 mm Hg（3 cases,2 cases,2% ）. Conclusion The happening rate of apoplexy, strokes and death in the senile hypertension is positively correlated with the pulse pres- sure. And it is very important and meaningful to smoothly and permanently control the pulse pressure of the old -aged hy- pertension.