老年高血压合并糖尿病的临床特点分析

Analysis of the Clinical Characteristics of Senile Hypertension Complicated with Diabetes Mellitus

目的研究探讨老年高血压合并糖尿病患者的临床特点。方法选取2009年1月—2013年12月来该院诊治的高血压患者,共300例,分为两组,一组为合并糖尿病组152例,一组为非糖尿病组148例,作相应检查,对比两组患者的合并冠心病、脑梗塞、高脂血症、肾功能衰竭患者的数值。结果高血压合并糖尿病患者冠心病、脑梗塞、高脂血症、肾功能衰竭的发病率比非糖尿病组要高,P<0.05时,具有可比性,差异有统计学意义。结论高血压合并糖尿病出现并发症的几率比单纯高血压组增至2~4倍,积极的干预可以减少并发症,降低死亡率。

Objective To investigate the clinical characteristics of elderly patients with hypertension complicated with diabetes mellitus. Methods A total of 300 cases of patients with hypertension admitted in our hospital from January, 2009 to December, 2013 were divided into two groups, one group with diabetes mellitus of 152 cases, the other group without diabetes of 148 cases. The corresponding examinations were performed in all the patients. The values about coronary heart disease, cerebral infarction, hyperlipidemia, renal failure of two groups of patients were compared. Results The incidence of coronary heart disease, cerebral infarction, hyperlipidemia and renal failure of the group with hypertension complicated by diabetes mellitus was higher than that of the group without diabetes mellitus, the difference was statistically significant(P<0.05). Conclusion The incidence of complications of hypertension complicated by diabetes mellitus is 2~4 times higher than that of pure hypertension group; positive intervention can reduce the complications and the mortality rate.