老年高血压病优化联合个体化治疗的效果分析

Analysis of Effect of Optimization of Senile Hypertension Combined with Individual Treatment

目的探究老年高血压病患者接受优化联合个体化治疗的价值。方法选取该院2012年1月—2017年6月老年高血压病患者500例为研究对象,以远程随机化法分组,对照组(n=250)接受常规治疗,实验组(n=250)接受优化联合个体化治疗,对比2组老年高血压病患者治疗疗效以及并发症发生情况的差异性。结果实验组老年高血压病患者治疗的总有效率(95.60%)明显高于对照组的总有效率(87.20%)(χ~2=11.220 8,P=0.00 1);其并发症的几率(2.80%)明显低于对照组并发症的几率(9.20%)(χ~2=9.078 0,P=0.00 3);实验组治疗后的血压水平低于对照组,差异有统计学意义(舒张压相比,t=12.844 9,P=0.000 1;收缩压相比,t=14.096 3,P=0.000 1)。结论老年高血压病患者接受优化联合个体化治疗,可促进疗效的提高,减少并发症的发生,意义重大。

Objective To study the value of optimization and individualized treatment of senile patients with hypertension. Methods 500 cases of senile hypertension patients in our hospital from January 2012 to June 2017 were selected and randomly divided into two groups with 250 cases in each, the control group used the routine therapy, while the experimental group used the optimization and individualized treatment, and the curative effect and occurrence of complications were compared between the two groups. Results The total treatment effective rate in the experimental group was obviously higher than that in the control group（95.60% vs 87.20%）（χ~2=11.220 8, P=0.00 1）; and the occurrence probability of complications was obviously lower than that in the control group 2.80% vs 9.20%,（χ~2=9.078 0, P=0.003）; after treatment, the blood pressure level in the experimental group was lower than that in the control group, and the difference was statistically significant（ diastolic pressure t=12.844 9, P=0.000 1; systolic pressure t=14.096 3, P=0.000 1）.Conclusion The optimization and individualized treatment of senile patients with hypertension can promote the improvement of curative effect and reduce the occurrence of complications, and the significance is great.