280例60岁以上高血压患者临床特点分析

目的探讨本地区老年人高血压的I临床特点。方法回顾性分析280例60岁以上高血压患者的临床资料。结果单纯性收缩期高血压160例（57．1％），脉压差〉60mmHg者140例（50％）；合并心脑肾损害者188例（67．1％）；合并糖尿病者140例（50％）；不同程度的心理障碍者40例（14．2％）。单用一种降压药能控制134例（47．9％），联合两种以上降压药治疗者146例（52．1％）；因降压过快而发生意外事件25例（8．9％）；死于心脑危害64例（22．85％）。结论老年单纯性收缩期高血压所占比例较大，脉压差大，并发症多且严重；合理用药；缓慢降压是治疗老年高血压的关键。

Clinical characteristics of 280 Cases of Senile Hypertension

Objective To investigate the clinical features of senile hypertension.Method Clinical data of 280 patients suffering from hypertension aged 60 years or older were retrospectively studied.Results There were 160 cases(57.1%)of simple systolic hypertension,140 cases(50%)with pulse pressure >60mmHg,188 cases(67.1%)complicated with heart,brain,or kidney lesions,140 cases(50%)complicated with diabetes,and 40 cases(14.2%)suffering psychological disturbances of different degrees.134 cases(47.9%)of hypertension were controlled through using only one hypotensor,while 146(52.1%)needed to be treated with two kinds of drugs.Accident happened in 25 cases(8.9%)because of blood pressure decreased quickly.64 cases(22.85%)died of heart and brain crisis.Conclusions Senile simple systolic hypertension dominates a high ratio,with high difference of pulse pressure as well as severe complications.Reasonable use of hypotensive drugs and slow decrease of blood pressure are the keys to the treatment of senile hypertension.