高龄老年人高血压89例临床分析

目的加强对高龄老年高血压的认识，提高高龄老年高血压的诊治水平。方法对89例≥80岁的老年高血压患者的临床资料进行回顾性分析。结果高龄老年高血压中单纯收缩期高血压多见；常见合并疾病包括冠心病，脑血管病和高尿酸血症；实验室检查结果和影像学检查提示易出现血脂异常，超敏C反应蛋白升高、尿酸升高，脑血管意外、心律失常、左室肥厚以及颈动脉斑块形成。结论高龄老年高血压患者更易发生心脑血管疾病，增加病死率；临床医生要加强对高龄老年高血压的重视程度，掌握高龄老年高血压的临床特点，积极适当的干预，从而降低致残率和致死率。

Clinical analysis on 89 cases of senile patients with hypertension

Objective To analyze senile patients with hypertension in order to improve the level of diagnosis and treatment. Methods Clinical data of 89 patients with hypertension and who were aged over 80 years were retrospectively analyzed. Results Isolated systolic hypertension was more common in senile patients with hypertension, usually combined with coronary heart disease, cerebrovascular disease and hyperuricemia. Laboratory tests and imaging revealed that dyslipidemia, high sensitive C reactive protein elevation, cerebrovascular accident, arrhythmia, left ventricular hypertrophy and carotid artery plaque were more prone to occur. Conclusion Senile patients with hypertension are more prone to suffer from cardiovascular and cerebrovascular diseases and thus increase mortality. Clinicians should pay close attention to senile patients with hypertension and master clinical characteristics of these patients. Positive and appropriate intervention may well reduce the morbidity and mortality.