社区老年人群清晨高血压患病现状调查

Investigation on the prevalence of hypertension in the elderly in the community

目的:调查、分析社区老年人群清晨高血压患病现状。方法:选择我社区≥60岁的老年体检人群5569例,其中高血压2572例。对所有患者按照性别、年龄进行分组,对所选患者清晨高血压现状进行分析。结果:患清晨高血压患者1835例,患病率33.0%。相比于男性,女性患者收缩压>140mmHg或舒张压>90mmHg的概率较高;相比于女性,男性仅收缩压>140mmHg的概率较高。对于无高血压体检者,女性清晨高血压患病总概率明显比男性高,特别是年龄60~69岁的女性体检者,清晨高血压患病概率明显比男性体检者高。年龄≥80岁男性体检者,清晨高血压患病概率明显比女性体检者高。结论:对于清晨高血压,清晨体检并对血压进行常规测量是发现该病的简便且有效的方式,尤其是老年女性更应对清晨血压予以重视。

Objective:To investigate and analyze the prevalence of hypertension in the elderly in the community.Methods:5 569 people aged over 60 years old in our community were selected,including 2 572 cases of hypertension.All patients were divided into groups according to sex and age,and the status of hypertension in the early morning was analyzed.Results:1 835 patients suffered from morning hypertension,and the prevalence rate was 33%.Compared with men,the female patients had higher systolic pressure>140 mm Hg or diastolic pressure>90 mm Hg.Compared with women,men had a higher likelihood of systolic blood pressure>140 mm Hg.For those without hypertension,the total probability of hypertension in early morning in women was significantly higher than that in men,especially for women aged 60~69 years.The probability of hypertension in early morning was obviously higher than that of male physical examination.For men over 80 years of age physical examination,the risk of hypertension in early morning was significantly higher than female physical examination.Conclusion:For morning hypertension,early morning physical examination of blood pressure is a simple and effective way to detect disease,especially older women should be paid more attention to early morning blood pressure.