中国医药科学Issue(23)：21-23,3.
青年高血压病患者的临床特点分析
Analysis of clinical characteristics of hypertension in the young patients
马瑞 1武文华 1张寅斌 1刘韡 1孙超峰 2李万静 1刘玲1
作者信息
- 1. 西安交通大学医学院第二附属医院，陕西西安 710004
- 2. 西安交通大学医学院第一附属医院，陕西西安710061
- 折叠
摘要
Abstract
Objective To study and research the differences of hypertension between the youth and the old, which related to the risk factors and the clinical characteristics, in order to improve the precaution and treatment of the youth hypertension. Methods A case-control study was conducted involving 172 young (below 45 years old) and 142 elderly (between 60 to 75 years old) patients with clinical diagnosis of essential hypertension. It is comparable between the two groups. The differences in the risk factors, the level of the ion in the blood serum and clinical characteristics were analyzed between the two groups. Results In the comparison of the blood pressure level, the elderly group had higher systolic blood pressure and the youth group had higher diastolic blood pressure. Compared with the elderly patients, the risk factors of smoking, drinking and positive family history was more frequently found among the young patients. The level of sodium ion is lower, while the calcium ion is higher in the young patients than in the elderly patients. The levels of triglyceride(TG) and apolipoprotein B(ApoB) were significantly higher, while high-density lipoprotein cholesterol(HDL-C), and apolipoprotein A-I(ApoA-I)lower in the young patients than in the elderly patients. HOMA-IR is higher in the youth group than in the old group. And the fasting blood glucose in the two groups has no obviously difference. Conclusion The characteristics of hypertension in the young patients are apparent. The diastolic blood pressure rises more obviously. The pulse pressure is small. And the age with disease in the young patients is short. The stage 1, stage 2 hypertension and IDH are common in young patients. Smoking, drinking, metabolic disorders and positive family history are the major risk factors for hypertension among individuals below the age of forty-five. The levels of triglyceride(TG) and apolipoprotein B(ApoB) were significantly higher in the youth group. And the HOMA-IR is higher in the youth group. So it illuminates that the youth group may accompany metabolic syndrome. So the precaution and treatment of the hypertension is different in different age levels.关键词
高血压/青年/危险因素Key words
Hypertension/Young patients/Risk factors分类
医药卫生引用本文复制引用
马瑞,武文华,张寅斌,刘韡,孙超峰,李万静,刘玲..青年高血压病患者的临床特点分析[J].中国医药科学,2013,(23):21-23,3.
