高血压病住院患者死亡的原因分析

Analysis of the causes of death in patients with hypertension

目的探讨高血压病住院患者死亡的原因。方法选取2015年1月~2017年9月我院的357例死亡的高血压病住院患者作为研究对象,分析患者的临床资料,了解患者的年龄、性别分布,同时总结患者高血压分级分布以及死亡的主要原因。结果高血压病患者的死亡率随年龄增大呈现增长趋势,且死亡的高血压病住院患者中男性(59.38%)多于女性患者(40.62%)。血压90~99/140~159 mm Hg患者28例(7.84%);血压100~109/160~179 mm Hg患者88例(24.56%);血压≥110/180 mm Hg患者241例(67.51%)。死亡原因有恶性肿瘤(40.62%)、循环系统疾病(38.66%)、呼吸系统疾病(8.68%)、消化系统疾病(4.20%)、泌尿系统疾病(2.80%)及其他(5.04%)。结论高血压病住院患者死亡的原因主要有恶性肿瘤、循环系统疾病、呼吸系统疾病等,为此,临床应予以高度重视。

Objective To investigate the causes of death in hypertensive patients in hospital.Methods 357 hypertensive patients in hospital who died in our hospital from January 2015 to September 2017 were selected as the subjects.The clinical data of the patients were analyzed to understand the age and gender distribution of the patients.At the same time,the classification of hypertension and the main causes of death were summarized.Results The mortality rate of hy- pertensive patients in hospital showed an increasing trend with the increase of age,and the mortality rate of males pa- tients with hypertension （59.38%） was more than that of female patients （40.62%）.Patients with blood pressure of 90- 99/140-159 mmHg were 28 cases （7.84%）,patients with blood pressure of 100-109/160-179 mmHg were 88 cases （24.56%）,patients with blood pressure /〉 110/180 mmHg was 241 cases （67.51%）.The causes of death were malignant tumors （40.62%）,circulatory system diseases （38.66%）,respiratory diseases （8.68%）,digestive diseases （4.20%）,urinary system diseases （2.80%） and others （5.04%）.Conclusion The main causes of death in hypertensive patients in hospital are malignant tumor, circulatory system disease,respiratory system disease arid so on.Therefore,the clinic should pay high attention to it.