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[目的]了解高血压患者的死亡原因。[方法]对2002年1月～2008年12月住院并死亡的高血压患者166例的临床资料进行回顾性调查。[结果]高血压患者死亡率随人口老龄化呈增长趋势;高血压并发症死因首位为脑卒中,男性脑卒中病死率明显高于女性;高血压Ⅱ～Ⅲ级特别是Ⅲ级死亡率随血压升高骤然增多;合并症越多,死亡率越高;高血压靶器官损害以脑血管疾病居首位,其次为心血管疾病及肾脏损害;统计学处理差异有统计学意义。[结论]高血压病死因首位为脑卒中。血压水平越高、合并症越多,死亡率越高,靶器官损害以脑血管疾病为主。在高血压诊疗活动中及时有效控制血压、血糖、血脂等心血管危险因素,提倡健康生活理念是降低高血压死亡率的最经济有效的手段。
[Objective] To understand the causes of death in hypertensive patients. [Methods] The clinical data of 166 cases of hypertensive patients hospitalized and died from January 2002 to December 2008 were retrospectively reviewed. [Results] The mortality rate of hypertensive patients increased with population aging. The first cause of death from hypertension complications was stroke, and the mortality rate of male stroke was significantly higher than that of female. The mortality of grade Ⅱ ~ Ⅲ, especially grade Ⅲ, Suddenly increased; the more comorbidities, the higher the mortality rate; target organ damage of hypertension in the first place of cerebrovascular disease, followed by cardiovascular disease and kidney damage; statistical differences were statistically significant. [Conclusion] The first cause of hypertension is stroke. The higher the level of blood pressure, the more comorbidities, the higher the mortality rate, the target organ damage mainly cerebrovascular disease. Cardiovascular risk factors such as blood pressure, blood glucose and blood lipids are effectively and timely controlled during hypertension diagnosis and treatment activities, and the concept of healthy living is the most economical and effective way to reduce the mortality rate of hypertension.