高血压患者心血管危险性分层及其治疗分析

Analysis of Cardiovascular Risk Stratification and Treatment in Hypertensives

目的研究高血压患者的心血管危险性对治疗效果的影响。方法选择160例高血压患者,根据患者的心血管危险性来提供针对性的治疗,对比治疗前后的危险程度情况。结果治疗前患者共有15例极高危,占总数的9.4%,高危64例,占总数的40%,中危69例,占总数的43.1%,低危12例,占总数的7.5%。患者接受治疗后的危险情况为,极高危6例,占总数的3.8%,高危16例,占总数的10.0%,中危100例,占总数的62.5%,低危38例,占总数的23.7%。治疗后极高危、高危患者数量减少,中危和低危患者数量增加。结论高血压患者临床治疗时,需要根据其危险分层情况来进行指导治疗。

Objective To study the influence of cardiovascular risk in hypertensives on the treatment effect. Methods 160 hypertensives were selected and treated according to the cardiovascular risk of patients, the degree of risk were compared before and after treatment. Results Before treatment in patients with a total of 15 cases of very high risk, accounting for 9.4% of the total, 64 patients with high risk, accounting for 40% of the total, intermediate in 69 cases, accounting for 43.1% of the total, 12 cases of low risk, accounting for 7.5% of the total. After treatment patients of very high risk, 6 cases, accounting for 3.8% of the total, 16 patients with high risk, accounting for 10% of the total, intermediate in 100 cases, accounting for 62.5% of the total, low risk in 38 cases, accounting for 23.7% of the total. The number of very high risk and high risk patients after treatment was decreased, the number of moderate rate risk and low risk patients was increased. Conclusion The clinical treatment of hypertensives needs to carry according to the risk stratification.