血压和血糖与老年人不同死因的相关性

目的:研究血压和血糖与老年人不同死因之间的关系,为临床预防提供指导方向。方法:在资料相对完整的死亡患者883例中,选择年龄>60岁的501例作为调查对象。其中,糖尿病人群180例,分为:糖尿病高血压组(DM/HT组,108例,占60.14%)和糖尿病非高血压组(DM组,72例,39.86%);非糖尿病人群321例,分为:非糖尿病高血压组(HT组,130例,40.50%)和非糖尿病非高血压组(非DM/HT组,191例,59.50%)。观察各组患者的性别、年龄、血压、血糖和死因(主要是指心脑血管意外、肿瘤、感染和尿毒症)。结果:①老年人高血压患病率:非糖尿病40%,糖尿病60%,且男性好发;②DM/HT、HT脑出血是第一位死因,超过30%;DM、非DM/HT血管意外仅20%,且以梗塞性疾病为主;③DM、非DM/HT恶性肿瘤是第一位死因;高血压与肿瘤无关(肾梭形细胞癌除外);④糖尿病2个亚组感染患病率高;⑤DM/HT组、HT组尿毒症患病率高于其余两组;⑥多元回归分析后,收缩血压、舒张血压与心脑血管意外相关,与肿瘤、感染无关,前者与尿毒症也有相关性;空腹血糖与4种死因均相关。结论:血压和血糖与老年人不同死因之间有相关...

The relationship between blood pressure,blood glucose and the different causes of death in elderly

Objective:To study the relationship between blood pressure,blood glucose and the different causes of death in elderly,and then provide a guidance for clinical prevention.Methods:883 dead patients with relatively complete information were investigated,to choose cases aged over 60 years as subjects.The 501 patients were divided into two groups:180 diabetics and 321 non-diabetics,and then were subgrouped according to blood pressure:diabetes /hypertension group(DM /HT,108 cases,60.14%),diabetes group(DM,72 case...