规范筛查流程下住院高血压患者的病因构成分析

目的分析在现代规范的高血压筛查流程下阜外医院高血压中心近两年住院高血压患者的病因构成。方法采用回顾性研究方法，分析在现代规范的继发性高血压筛查流程下阜外心血管病医院高血压病区2011年9月至2013年8月住院高血压患者的病因及构成情况。结果（1）共1440例住院高血压患者，其中继发性高血压677例，占47．O％，男性294例（43。4％），平均年龄39，834-12．03岁。（2）本中心继发性高血压的首位病因为原发性醛固酮增多症198例，29。2％（198／677），其次为多发性大动脉炎（累及降主动脉和肾动脉）160例。23．6％（160／677），粥样硬化性肾动脉狭窄126例，18．6％（126／677）、睡眠呼吸暂停综合征58例，8，6％（58／677），及其他135例，19．9％。结论我中心在现代规范的高血压筛查流程下，住院高血压患者的继发性高血压检出率明显提高，病因构成比发生了明显变化。

The Etiological Constitution of In.patients with Hypertension in Hypertension Center of Fuwai Hospital in Recent Two Years

Objective To describe the etiological constitution of in-patiants with Hypertension in hypertension center of Fuwal hospital in recent two years with the modem standard hypertension screening procedure. Methods We reviewed the data of 1440 in-patients with Hypertension in hypertension center of FuWai Cardiovascular Hospital from September 2011 to August 2013, Results There are 677 patients with secondary hypertension of 1440 cases of hospitalized patients in fuwai hypertension center, accounting for 47%, including 294（43.4%） males, and the mean age were 39.83~I 2.03years old. The 198 patients with Primary aldosteronism accounted for the ~atest proportion of secondary hypertension, about 29.2%. The second cause of secondary hypertension is Takayasu＇s artcritis, includingl30 renal artery and 30 descending aorta involvement, which add up to 23.6%. The other causes include renal artery arteriosclerosis （126cases, 18,6% ）, sleep apnea syndrome（SScases, 8.6% ）,and etc（135cases, 19.9 % ）. Conclusion In the modem standard hypertension screening procedure, more and more causes of secondary hypertension are detected in patients with hypertension hospitalized in hyp＇crtcnsion center of Fuwai hospital. The etiological constitution of secondary hypertension has changed obviously.