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我院十年来(1975年6月～1985年11月)收住院高血压患者751例,其中老年期(≥60岁)339例,男222例,女117例;老年前期(45～59岁)332例,男214例,女118例。现对两组高血压病的临床资料进行分析,旨在探讨老年高血压病的临床特点。诊断标准与分型:按世界卫生组织高血压诊断标准,收缩压≥160及/或舒张压≥95mmHg确立诊断。本组将刚入院血压测值分为三型:血压≥160/95mmHg为典型高血压(CH);收缩压≥160mmHg,舒张压<95mmHg为单纯收缩期型高血压(ISH);收缩压<160mmHg,舒张压≥95mmHg为单纯舒张期型高血压(IDH)。一、临床资料分析 1.各型高血压的发病情况:老年期ISH的发病数高于老年前期,而IDH则低于老年前期,两者相比有显著差异(P<0.01)。见表1。
In our hospital over the past decade (from June 1975 to November 1985), 751 cases of hypertension were admitted to hospital, of which 339 were elderly (≥60 years), including 222 males and 117 females. In the pre-senile (45-59 years) 332 cases, 214 males and 118 females. Now the clinical data of two groups of hypertension were analyzed to explore the clinical features of elderly hypertensive. Diagnostic criteria and typing: According to the WHO diagnostic criteria for hypertension, systolic blood pressure ≥ 160 and / or diastolic blood pressure ≥ 95mmHg established diagnosis. This group will be admitted to hospital blood pressure measurement is divided into three types: blood pressure ≥ 160 / 95mmHg for the typical high blood pressure (CH); systolic blood pressure ≥ 160mmHg, diastolic blood pressure <95mmHg systolic hypertension (ISH); systolic blood pressure <160mmHg , Diastolic blood pressure ≥ 95mmHg for simple diastolic hypertension (IDH). First, the clinical data analysis 1. The incidence of various types of hypertension: the incidence of senile ISH is higher than the number of pre-elderly, while the IDH is lower than the pre-elderly, there was significant difference between the two (P <0.01). See Table 1.