老年高血压患者危险因素分析及干预对策

目的 探讨影响老年高血压患者的危险因素以及干预的对策.方法 共纳入85例老年高血压患者,同时从门诊随机抽取140例无高血压病史的老年人群作为对照组.详细记录所以受试者的基本信息、高血压患病情况及相关影响因素.应用非条件Logistic回归分析进行多因素分析.结果 单因素分析结果表明:两组间男性、冠心病病史、糖尿病史、吸烟史、入院首次SBP、家族高血压病史、饮酒史、LDL-C及HDL-C比较差异有统计学意义;其中冠心病病史、糖尿病史、吸烟史、入院首次SBP、家族高血压病史、饮酒史、LDL与老年高血压发生呈正相关;HDL-C与老年高血压的发生呈负相关(P＜0.05).进一步行多因素分析结果表明:糖尿病史、吸烟史、高血压家族史是老年高血压病患者发生的独立危险因素;而HDL-C是老年高血压病患者发生的保护因素.结论 糖尿病史、吸烟史、高血压家族史是老年高血压病患者发生的独立危险因素;而HDL-C是老年高血压病患者发生的保护因素,应该大力提倡全民健身,同时戒烟限酒,对有上述危险因素的老年人群进行必要的干预,可明显降低高血压的发生率.

Analysis of the risk factors for Elderly patients with high blood pressure and its countermeasures

OBJECTIVE To study the effect of elderly patients with high blood pressure risk factors and intervention measures.METHODS A total of 85 elderly patients with high blood pressure were collected,and 140 cases with no history of hypertension were randomly selected from outpatient service and regarded as control group.We recorded the basic information of the subjects,high blood pressure and illness related factors.Unconditional Logistic regression analysis was conducted.RESULTS Single factor analysis results showed that:between the two groups,coronary heart disease,diabetes men history history,smoking history,admission,family history of hypertension first SBP,drinking histories,LDL-C and HDL-C had significant differences between the two groups;History of coronary heart disease,diabetes,smoking history,history of hospital first SBP,family history of hypertension,drinking history,and LDL were positive associated with high blood pressure;HDL-C was negatively associated with high blood pressure(P﹤0.05).Further analysis showed that:the history of diabetes,smoking history,hypertension family history is old age with essential hypertension were independent risk factors for high blood pressure among old people,while the HDL-C was the protective factor.CONCLUSION History of diabetes,smoking history and hypertension family history were independent risk factors for high blood pressure among old people,while HDL-C was the protection factor.It is necessary to promote popular fitness,limit alcohol to quit smoking,and performed intervention for related risk factors,so as to obviously reduce the incidence of hypertension.