高龄人群高血压晨峰特征及对临床治疗指导意义

Older Population Morning Peak Features of Hypertension and to Guide Clinical Treatment

目的:探讨分析80岁以上老年人高血压晨峰特征,探索高龄人群控制高血压病的治疗手段,预防心脑血管疾病的发生。方法:选取我院80岁以上老年人高血压患者50例作为高龄研究组;选取普通人群50例作为对照组。所有患者携带动态血压监测仪,比较两组患者的24h平均收缩压与舒张压、白昼平均收缩压与舒张压、夜间平均收缩压与舒张压。结果:高龄组与对照组相比,高龄组患者的24h平均收缩压、白昼平均收缩压、夜间平均收缩压之间的差异明显高于对照组(P<0.05),具有统计学意义。结论:高龄老年人高血压晨峰特征较明显,随着年龄的增长,24h动态血压正常值(尤其是收缩压)会出现明显的改变,对于有高血压晨峰病史的老年人临床上应给予足够的重视,减少发生心血管事件的概率。

Objective：To study the elderly aged 80 hypertension morning peak features,to control high blood pressure disease treatment and prevention.Methods：Selected from 50 cases of hypertension patients is over 80 years old as a team;Selection of the general population 50 cases as control group.Comparison of 24 h mean systolic pressure and diastolic blood pressure,daytime mean systolic blood pressure and diastolic blood pressure,average systolic and diastolic blood pressure at night.Results：The elderly group compared with control group,the age group of patients with 24 h average systolic blood pressure,daytime average systolic blood pressure,average systolic blood pressure at night is significantly higher than control group（P〈0.05）.Conclusion：The elderly elderly hypertension morning peak feature is obvious,as the growth of the age,24 h ambulatory blood pressure normal value will appear obvious change,for old people should give importance to have a history of hypertension morning peak,reduce cardiovascular events.