老年综合评估在老年代谢综合征患者中高血压治疗的临床效果研究

Effect of Comprehensive Assessment of Elderly on Treatment of Elderly Hypertension in Pa- tients with Metabolic Syndrom

【目的】探讨老年综合评估在老年代谢综合征患者高血压治疗中的临床效果。【方法】选择2015年1月至2016年1月本院收治的80例老年代谢综合征患者的临床资料,将其随机分为对照组和观察组,每组40例。对照组给予常规降压治疗和生活指导,观察组在对照组基础上同时进行老年综合评估干预。记录患者治疗前后的收缩压（SBP）、舒张压（DBP）的变化、24h动态血压和各时段血压变异系数。【结果】对照组和干预组治疗后平均收缩压和舒张压均下降,干预组治疗前后平均收缩压和舒张压差异均具有统计学意义（P＜0.05）,治疗后干预组平均收缩压和舒张压均低于对照组（P＜0.05）。对照组、观察组治疗后24hSBP、24hDBP、dSBP、dDBP、nSBP、nDBP均下降,但对照组下降不显著,差异无统计学意义（P＞0.05）;观察组治疗后24hSBP、24hDBP、dSBP、dDBP、nSBP、nDBP均显著低于治疗前,24hSBP、dSBP显著低于对照组,差异具有统计学意义（均P＜0.05）。观察组治疗后24hSBPCV、24hDBPCV、dSBPCV、dDBPCV、nSBPCV、nDBPCV均显著低于治疗前,24hSBPCV、dSBPCV、dDBPCV显著低于对照组,差异具有统计学意义（均P＜0.05）。【结论】临床上对于老年代谢综合征患者进行老年综合评估,制定合理有效的干预计划,有助于控制患者的血压水平,降低血压变异性。

【Objective】To evaluate the effect of comprehensive geriatric assessment on the treatment of geriatrichypertension in patients with metabolic syndrom. 【Methods】After treatment, the average systolic and diastolic blood pressure of the control group and the intervention group decreased,the average systolic blood pressure and diastolic blood pressure difference were statistically significant in the intervention group before and after treatment（P〈0.05）;the average systolic blood pressure and diastolic blood pressure in the intervention group were lower than those in the control group after treatment（P〈0.05）.After treatment, 24hSBP, 24hDBP, dDBP, dSBP, nSBP, nDBP of the control group and the observation group were decreased, but the decrease in the control group was not significantly, the difference was not statistically significant （P〉0.05）; 24hSBP, 24hDBP, dSBP, dDBP, nSBP, nDBP in the observation group after treatment were significantly lower than those before treatment, the 24hSBP and dSBP were significantly lower than those in the control group, the difference was statistically significant （mean P〈0.05）.After treatment, 24hSBPCV, 24hDBPCV, dSBPCV, dDBPCV, nSBPCV, nDBPCV in the observation group were significantly lower than those before treatment, and 24hSBPCV, dSBPCV, dDBPCV were significantly lower than those in the control group, the difference was statistically significant （mean P〈0.05）.【Conclusion】Comprehensive geriatric assessment is helpful to control the level of blood pressure and blood pressure variability and adopt proper intervention in elderly patients with metabolic syndrome.