老年高血压患者血压变异性分析

Analysis of blood pressure variability in elderly hypertensive patients

目的探讨老年高血压患者血压变异性的特点。方法回顾性分析我院2015年1月至2016年1月住院的老年高血压患者320例,按年龄段分为A组(60~69岁)89例、B组(70~79岁)138例和C组(≥80岁)93例,分析三组患者动态血压参数、动态血压变异性特点。结果不同年龄组的血压波动的昼夜节律,C组的超杓型比例显著高于A组(P<0.05);C组24小时平均收缩压、白天平均收缩压、夜间平均收缩压、夜间平均舒张压的血压变异率均高于A、B组,差异有统计学意义。结论随年龄增长,老年高血压患者超杓型的比例上升,血压变异率呈增加的趋势。

Objective To investigate the therapeutic regimen for elderly patients with breast cancer and related factors .Meth-ods A retrospective analysis of clinical data of 84 elderly breast cancer patients undergone surgical treatment was performed .The pa-tients were divided into 〈70 years and 〉70 years groups .The factors influencing the outcome of chemotherapy and radiotherapy were analyzed .Results The major differences between the two groups were postoperative chemotherapy and radiotherapy .Multivariate linear regression analysis showed that age ,progesterone receptor expression ,complications and cancer histological type were independent fac-tors affecting chemotherapy while age ,lymph node metastasis and complications were independent factors affecting radiotherapy .Con-clusion The independent factors influencing chemotherapy in elderly breast cancer patients are age ,expression of progesterone recep-tor,complications and cancer histological type .The independent factors affecting radiotherapy of these patients age ,complications and lymph node status.Therefore,the factors should be the first considered when make a treatment plan .