老年性高血压临床诊断及治疗

Clinical diagnosis and treatment of senile hypertension

目的探讨老年性高血压临床诊断与治疗方法。方法选取我院2011年8月至2013年8月收治的200例老年性高血压患者,将其随机分为观察组与对照组,每组患者各100例。观察组采用口服硝苯地平控释片+心理疏导治疗+运动辅助治疗等进行联合治疗,对照组仅采用口服硝苯地平控释片治疗,两组患者均持续治疗6个月以上,比较分析两组患者临床诊断疗效。结果两组患者治疗后,观察组治疗有效率为94%,对照组治疗效率为89%,观察组治疗效果明显高于对照组(P<0.05)。另外,观察组老年性高血压患者心脑血管疾病的并发率为2%,低于对照组的8%,P<0.05,具有统计学意义。结论治疗老年性高血压病患不能单纯的依靠药物治疗,还需结合饮食、运动、健康教育等进行合理化的辅助性治疗,才能够取得优良的治疗效果,同时还可预防心脑血管疾病的发生。

Objective To investigate the clinical diagnosis and treatment of senile hypertension.. Methods A total of 200 cases of senile hypertension who were admitted to our hospital from August 2011 to August 2013 were selected and randomly divided into observation group （n=100） and control group （n=100）. The observation group was treated with oral nifedipine controlled release tablets, psychotherapy. and physical therapy, while the control group was orally given nifedipine controlled release tablets alone. The two groups were both treated continuously for more than six months. The clinical diagnosis and treatment outcomes of the two groups were then compared. Results After treatment, the response rates of the observation group and control group were 94% and 89%, respectively, and the treatment outcome of the observation group was significantly better than that of the control group （P〈0.05）. Meanwhile, compared with the control group, the observation group had a significantly lower incidence of cardiovascular and cerebrovascular diseases （2% vs 8%, P〈0.05）. Conclusion In addition to medication treatment, adjuvant therapies like diet, exercise, and health education should also be integrated in the treatment of senile hypertension in order to achieve a better therapeutic effect as well as to prevent the occurrence of cardiovascular and cerebrovascular diseases.