期刊文献+

老年高血压患者并发症及特征分析 被引量:41

Pathogenic features and complications of elderly hypertensive patients
下载PDF
导出
摘要 目的分析老年高血压患者的发病特征和并发症,为指导老年高血压的临床合理综合治疗提供依据。方法选择年龄≥70岁的老年高血压患者110例,分析其症状、体征、血压特点、常见并发症、常用药物种类及不良反应。结果老年高血压患者中,症状体征多不典型,并发症多;常用药物以钙拮抗剂或以钙拮抗剂为主的联合用药。药物不良反应以低血压、低灌注、心率加快、心力衰竭加重等最常见。最常见的前5位并发症为大动脉粥样硬化症、缺血性脑病、脑梗死、糖尿病、高血压性心脏病。结论老年高血压患者依从性差,症状体征多不典型,易合并严重并发症,健康指导、合理的药物选择对改善长期预后非常重要。 Objective To provide the evidence for the rational comprehensive treatment of hypertension by analyzing its pathogenic features and complications in elderly hypertensive patients. Methods One hundred and ten elderly hypertensive patients with their age 970 years were included in this study. Their symptoms and signs, blood pressure, common complications, commonly used drugs and adverse reactions were analyzed. Results The symptoms and signs were atypical in most of the hypertensive patients. The commonly used drugs were calcium antagonists or calcium antagonists in combination with other drugs. The common adverse reactions of drugs were low blood pressure, hypoperfusion,increased heart rate, and heart failure. The most common complica- tions were conducting large artery atheroselerosis, ischemic eneephalopathy, cerebral infarction, diabetes mellitus,and hypertensive heart disease. Conclusion The compliance of elderly hypertensive patients is poor. The symptoms and signs are atypical and severe complications are easy to occur in most of hypertensive patients. Direction for health and rational use of drugs are very important to improve their long-term prognosis.
出处 《中华老年心脑血管病杂志》 CAS 北大核心 2013年第3期239-240,共2页 Chinese Journal of Geriatric Heart,Brain and Vessel Diseases
基金 国家自然科学基金(81271657)
关键词 高血压 动脉粥样硬化 脑梗死 糖尿病 超声心动描记术 多普勒 彩色 抗高血压药 hypertension atherosclerosis brain infarction diabetes mellitus echocardiography,Doppler, color antihypertensive agents
  • 相关文献

参考文献5

二级参考文献23

  • 1中国居民营养与健康现状[J].中国心血管病研究,2004,2(12):919-922. 被引量:495
  • 2全国血压抽样调查协作组.中国人群高血压患病率及其变化趋势[J].高血压杂志,1995,3(A01):7-13. 被引量:508
  • 3中国成人血脂异常防治指南制定联合委员会.中国成人血脂异常防治指南[J].中华心血管病杂志,2007,:35-413,390.
  • 4中国高血压防治指南修订委员会.2005年中国高血压防治指南[J].中华心血管病杂志,2004,:32-1064,1060.
  • 5Viazzi F, Leoncini G, Vercelli M, et al. Serum uric acid levels predict new-onset type 2 diabetes in hospitalized patients with primary hypertension: the MAGIC study. Diabetes Care, 2011,34:126-128.
  • 6Tsai WC. Treatment options for hypertension in high-risk pa tients. Vase Health Risk Manag,2011,7:137-141.
  • 7American Diabetes Association. Standards of medical care in Diabetes-2007. Diabetes Care, 2007,30: s4-s41.
  • 8Devereux RB, Alonso DR, Lutas EM, et al. Echocardiographic assessment of left ventricular hypertrophy:comparison to necropsy findings. Am J Cardiol 1986,57:450-458.
  • 9Baroncini LA, de Oliveira A,Vidal EA, et al. Appropriateness of carotid plaque and intima media thickness assessment in routine clinical practice. Cardiovasc Ultrasound, 2008,6: 52.
  • 10Fox CS. Cardiovascular disease risk factors, type 2 diabetes mellitus, and the Framingham Heart Study. Trends Cardiovasc Med,2010,20:90-95.

共引文献117

同被引文献342

引证文献41

二级引证文献223

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部