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目的:探讨老年人高血压的临床特点,为临床治疗提供帮助。方法:回顾性分析126例60岁以上老年高血压患者(老年组)的临床资料,并与92例非老年高血压患者(非老年组)进行比较。结果:临床表现方面无症状和头晕头痛患者两组无显著差异,心悸气促者老年组与非老年组差异有统计学意义;老年组晨峰高血压现象明显,P<0.01;老年组脉压差明显增大、单纯收缩期高血压多见,并发基础疾病多。联合用药老年组高于非老年组,差异有统计学意义(χ2=27.117,P<0.01)。结论:根据老年高血压的临床特点,遵循个体化原则,合理用药、平稳降压是治疗老年高血压的关键。
Objective: To investigate the clinical features of hypertension in the elderly to provide help for clinical treatment. Methods: A retrospective analysis of 126 cases of elderly hypertensive patients over the age of 60 (elderly) clinical data, and 92 cases of non-elderly hypertensive patients (non-elderly group) were compared. Results: The clinical manifestations of asymptomatic and dizziness and headache patients had no significant difference between the two groups, heart palpitations and shortness of breath in the elderly and non-elderly group was statistically significant difference; morning peak hypertension in the elderly group was significantly (P <0.01); elderly group of pulse pressure Difference was significantly increased, more common systolic hypertension, complicated by multiple underlying diseases. The combination group was higher than the non-elderly group, the difference was statistically significant (χ2 = 27.117, P <0.01). Conclusion: According to the clinical characteristics of elderly hypertension, follow the principle of individualism, rational use of drugs, stable antihypertensive treatment of hypertension is the key.