重庆医学Issue(36)：4415-4417,3.DOI:10.3969/j.issn.1671-8348.2013.36.021
421例老年高血压住院患者危险因素及其对靶器官损害的回顾性分析
Retrospective analysis on the risk factors and their effects on target organ damage of 421 elderly hypertensive inpatients
周长文 1吕在明 2陈远勤 1贾骏 1陈林 1罗素新3
作者信息
- 1. 重庆北部新区第一人民医院心内科 401121
- 2. 重庆市医学会 400020
- 3. 重庆医科大学附属第一医院心血管内科 400016
- 折叠
摘要
Abstract
Objective To assess the clustering of cardiovascular risk factors and their effects on target organ damage in elderly patients with hypertension .Methods 421 treated elderly hypertension patients were divided into 5 groups based on the number of risk factors :hypertension without additional risk factor (group A ,25 cases) ,and the other 4 groups were complicated with 1 (group B ,76 cases) ,2(group C ,127 cases) ,3(group D ,128 cases)and ≥ 4 (group E ,65 cases) risk factors .The structure and function of heart and carotid artery were examined by ultrasonography in order to evaluate the damage of target organ and the morbidity .Re-sults The patient groups with three or more risk factors showed significantly higher levels of BMI ,plasma glucose ,triglyceride , LDL-C cholesterol ,serum creatinine and serum uric acid ,and needed greater number of antihypertensive drugs ,compared with other groups(P<0 .05) .The patient groups with two or more risk factors showed significantly higher levels of LVMI ,IMT and MAU/Cr compared with group A(P<0 .05) ,and significantly lower levels of the creatinine clearance (P<0 .05) .In addition ,they showed significantly higher incidences of coronary heart disease and cerebrovascular disease and chronic kidney disease compared with group A (P<0 .05) .Conclusion These results suggest that the hypertensive patients with clustering risk factors required greater number of antihypertensive drugs .The more additional risk factors exit ,the more target organ damages and higher morbidity occur ,and more intensive intervension are required to control not only blood pressure but also other complicated risk factors .关键词
高血压/危险因素/抗高血压药Key words
hypertension/risk factors/a antihypertensive agents引用本文复制引用
周长文,吕在明,陈远勤,贾骏,陈林,罗素新..421例老年高血压住院患者危险因素及其对靶器官损害的回顾性分析[J].重庆医学,2013,(36):4415-4417,3.
