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目的探讨中老年高血压患者心血管病(EH)多重危险因素及其相互关系。方法回顾性分析1997年7月至2007年7月入住我院中老年EH人群合并其他心脑血管疾病的常见危险因素及检测指标,以单因素Logistic回归方法研究其对急性心脑血管事件的影响。结果高胆固醇、糖代谢异常、Hs-CRP分层≥3.0mg/L、TG水平≥1.7mmol/L、HDL≤1.04mmol/L、低运动量(体育锻炼<1次/周)、靶器官损伤、蔬菜摄入量过低及心情抑郁等因素都是促进中老年EH患者其他心脑血管病发生的高危因素。结论高血压与多种心血管病发病因素之间存在密切联系,有效预防措施包括控制体重、积极锻炼及养成良好的生活习惯等。
Objective To explore the multiple risk factors of cardiovascular disease (EH) in middle-aged and elderly hypertensive patients and their relationship. Methods A retrospective analysis was made on the common risk factors and indexes of other cardiovascular and cerebrovascular diseases in our hospital from July 1997 to July 2007 in our hospital. The single factor Logistic regression was used to investigate the effect on acute cardiovascular and cerebrovascular events . Results High cholesterol, abnormal glucose metabolism, Hs-CRP stratification≥3.0mg / L, TG level≥1.7mmol / L, HDL≤1.04mmol / L, low amount of exercise (physical exercise less than1times per week), target organ damage, Low vegetable intake and depression and other factors are all risk factors to promote other cardiovascular and cerebrovascular diseases in elderly patients with EH. Conclusion There is a close relationship between hypertension and the incidence of various cardiovascular diseases. Effective preventive measures include weight control, active exercise and good habits of life.