摘要
目的:分析社区老年高血压病人直立性低血压(OH)的发病率。方法:对辖区内897例社区老年高血压病人开展体检,结果发现有OH病倒238例(26.5%)。根据年龄高血压患者被分为60-79岁组(727例)和80岁以上组(170例);再根据体检的立位血压,每组分为OH组和非OH组两个亚组。分析各组临床一般资料及OH发病情况。结果:(1)两个年龄段男性与女性OH比例差异无统计学意义(P=415);(2)80岁以上者直立性低血压的发病率显著高于60-79岁者(44.11%比22.42%),P〈0.01;(3)于社区老年高血压80岁以上组,与卧位比较,立位0min、2min时,收缩压[(132.89±22.77)mmHg比(104.00±19.42)mmHg、(113.43±20.52)mmHg]及舒张压[(80.06±12.37)mmHg比(68.02±11.10)mmHg、(71.34±13.37)mmHg]均明显下降(P〈0.05或〈0.01)结论:目前社区老年高血压病人中直立性低血压的发病率较高,其中高龄老年人直立性低血压的发病率更高。
Objective: To analyze morbidity of orthostatic hypotension (OH) in aged patients with hypertension fromcommunities. Methods: A total of 897 aged patients with hypertension from communities received physical examination, in which there were OH patients of 238 cases (26. 5% ) . According to their age, patients-79 years group (n = 727) and 〉80 years group (n=170). According to orthostatic hypertension blood pressure re-sults of physical examination,each group was further divided into OH subgroup and non-OH subgroup . General data and OH morbidity were analyzed and compared among all groups . Results: (1) There were no significant difference inOHmorbiditybetweenmenandwomen in60-79yearsgroupand 〉 8 0 years group,P = 0.4 1 5 ;⑵ Compared with60?79yearsgroup,therewas significant rise in in cidencerate of OH (22. 42% vs. 44. 11% ) in 〉 80 years group,P〈0. 01 ; (3) In〉80 years group,compared with recumbent position,there were significant reductions insystolic blood pressure [ (132. 89 ± 22. 77) mmHg vs. (104. 00 ± 19. 42) mmHg,( 113. 43 ± 20. 52) mmHg] and diastolic blood pressure [ (80. 06 ± 12. 37) mmHg vs. (68. 02 ± 11. 10) mmHg,( 71. 34 ± 13. 37) mmHg] inorthostatic position 0 min and 2 min,P 〈 0 . 05 or 〈 0 . 01. Conclusion: Current morbidity of OH is high in aged patients withpertension from communities,and t s higher in advanced aged people.
出处
《心血管康复医学杂志》
CAS
2016年第3期265-268,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
老年人
高血压
低血压
直立性
Aged
Hypertension
Hypotension,orthostatic