老年与非老年高血压患者伴发临床疾病及用药情况分析

Analysis of concomitant clinical diseases and drug use in elderly and non-elderly patients with hypertension

目的分析老年与非老年高血压患者伴发临床疾病及用药情况,为高血压的个体化防治提供依据。方法随机选取我院2018年9月至2019年8月收治的205例高血压病患者,按年龄分为老年组(115例,年龄≥60岁)及非老年组(90例,年龄<60岁)。比较两组患者伴发的临床疾病及用药情况。结果老年组伴发缺血性脑卒中、心绞痛、慢性心力衰竭、心房颤动、下肢动脉粥样硬化斑块、2型糖尿病的占比高于非老年组,伴发视乳头水肿的占比低于非老年组(P<0.05)。老年组使用利尿剂的占比高于非老年组(P<0.05)。单药降压中,老年组服用ACEI/ARB的患者占比低于非老年组(P<0.05)。结论在高血压患者的诊治过程中,临床应详细收集患者病史及伴发临床疾病资料,并进行针对性的心血管风险评估,合理选择降压药物,为其制定个体化的高血压防治方案。

Objective To analyze the concomitant clinical diseases and drug use in elderly and non-elderly patients with hypertension,so as to provide basis for individualized prevention and treatment of hypertension.Methods A total of 205 patients with hypertension admitted in our hospital from September 2018 to August 2019 were randomly selected,and the patients were divided into elderly group(115 patients,aged≥60 years)and non-elderly group(90 patients,aged<60 years)according to the age.The concomitant clinical diseases and medication of the two groups were compared.Results The incidences of concomitant ischemic stroke,angina pectoris,chronic heart failure,atrial fibrillation,lower extremity atherosclerotic plaque and type 2 diabetes mellitus in the elderly group were higher than those in the non-elderly group,while the icidence of concomitant optic papilledema in the elderly group was lower than that in the non-elderly group(P<0.05).The proportion of using diuretics in the elderly group was higher than that in the non-elderly group(P<0.05).In the single drug hypotension,the incidence of ACEI/ARB use in the elderly group was lower than that in the non-elderly group(P<0.05).Conclusion In the process of diagnosis and treatment of hypertension patients,clinic should collect the patients'medical history and associated clinical disease data in detail,and carry out targeted cardiovascular risk assessment,reasonably select antihypotensive drugs,and formulate individualized hypertension prevention and treatment plan for patients.