北京市军队老年男性高血压患者心脑血管疾病患病率调查

Prevalence of Cardiovascular and Cerebrovascular Diseases in Army Old Male Hypertensive Patients in Beijing

目的：调查北京市军队老年男性高血压患者的心脑血管疾病患病率。方法2011年10月~2014年4月在解放军总医院老年病房的719例男性患者（＆gt;60岁），分为正常血压组（n=228）、高血压控制达标组（n=389）和高血压控制不达标组（n=102）。应用二元Logistic回归比较各组心脑血管疾病患病率。结果与正常血压组相比，高血压控制达标组的心绞痛（OR=2.547, P〈0.001）、心肌梗死（OR=2.493, P=0.003）、脑梗死（OR=3.438, P=0.003）和外周动脉疾病（OR=1.766, P=0.026）的患病率上升；高血压控制不达标组的心绞痛（OR=4.123, P〈0.001）、腔隙性脑梗死（OR=2.810, P=0.020）、脑梗死（OR=3.484, P=0.001）和外周动脉疾病（OR=3.773, P〈0.001）的患病率上升。三组脑出血的患病率无显著性差异（0.9%vs.1%vs.1%）。结论北京市军队老年男性高血压患者的血压控制达标率优于一般人群，但缺血性心脑血管疾病的患病率仍高于正常血压者；降压治疗和危险因素控制可显著降低脑出血风险。

Objective To investigate the prevalence of cardiovascular and cerebrovascular diseases in the army old male hypertensive patients in Beijing. Methods From October 2011 to April 2014, old male patients in the geriatric department of the General Hospital of Chi-nese People＆#39;s Liberation Army were enrolled and categorized into 3 groups： normotensive, well-controlled hypertensive and poorly-con-trolled hypertensive groups. The prevalence of cardiovascular and cerebrovascular diseases was recorded and binary logistic regression was used to analyze the differences among the groups. Results 719 old male patients were enrolled, 228 in normotensive group, 389 in well-con-trolled hypertensive group and 102 in poorly-controlled hypertensive group. Compared to normotensive group, there was more incidence of angina （OR=2.547, P〈0.001）, myocardial infarction （OR=2.493, P=0.003）, cerebral thrombosis （OR=3.438, P=0.003） and peripheral artery atherosclerotic disease （OR=1.766, P=0.026） in the well-controlled hypertensive group, and it was more of angina （OR=4.123, P〈0.001）, la-cunar infarction （OR=2.810, P=0.020）, cerebral thrombosis （OR=3.484, P=0.001） and peripheral artery atherosclerotic disease （OR=3.773, P〈0.001） in the poorly-controlled hypertensive group. There was not significant difference of prevalence of cerebral hemorrhage （0.9%, 1%and 1%, respectively）. Conclusion In the army old male hypertensive patients in Beijing, control rate of blood pressure was higher than com-mon population, but the prevalence of ischemic diseases was still higher than in the normotensive patients. Anti-hypertension and control of other risk factors could reduce the mobidity of cerebral haemorrahge.