血压管理与老年退行性心脏瓣膜病的相关性研究

Correlation between Blood Pressure Management and Senile Degenerative Heart Valvular Disease

目的:探讨血压控制达标情况对老年退行性心脏瓣膜病(SDHVD)患病率的影响。方法:收集2019年01月~2019年12月我院接受心脏超声心动图检查且年龄≥60岁的高血压患者。按照血压控制情况分为控制组和未控制组,分析SDHVD的患病率及临床特点。结果:4337名高血压患者中,长期血压控制达标2284名,未达标2053名。高血压患者SDHVD患病率46.41%,瓣膜功能损害主要以瓣膜关闭不全为主。血压控制达标组的SDHVD患病率低于未达标组,差异具有统计学意义(P<0.01)。结论:老年高血压患者SDHVD患病率较高,血压控制尽早达标可降低SDHVD患病率。

Objective:To investigate the effect of blood pressure control on the incidence of senile degenerative heart valvular disease(SDHVD)in hypertension patients.Methods:Hypertensive patients aged more than and equal to 60 years who received echocardiography in our hospital from January 2019 to December 2019 were enrolled.According to the situation of blood pressure control,the patients were divided into the standard group and the uncontrolled group.The incidence and clinical characteristics of SDHVD were analyzed.Results:Among the 4337 hypertension patients,there were 2284 patients with long-term blood pressure up to the standard,and 2053 patients with blood pressure uncontrolled.The incidence of SDHVD in hypertension patients was 46.41%.The valvular dysfunction was mainly caused by valve insufficiency.The incidence of SDHVD in the standard group was lower than that in the uncontrolled group(P<0.01).Conclusion:The incidence of SDHVD is higher in elderly patients with hypertension,which could be reduced by the early control of blood pressure.