摘要
目的探究难治性高血压的病因及治疗效果。方法方便选取2015年4月—2017年4月来该院接受救治的150例高血压患者作为观察对象,结合高血压诊断标准将150例患者分为难治性高血压组(70例)、非难治性高血压组(80例)。对150例高血压患者的临床资料进行回顾性分析,研究难治性高血压的病因及治疗效果。结果难治性高血压组患者和非难治性高血压组患者之间2型糖尿病、冠心病、缺血性脑卒中、心肌供血不足、肥胖、食盐摄入过量、睡眠不足、吸烟酗酒、长期作息时间紊乱、治疗依从性差的结果比较差异有统计学意义(χ~2=22.140 1、19.754 1、10.3714、11.544 7、28.673 7、36.332 4、23.438 6、25.671 9、28.260 8、58.593 8,P<0.05);对难治性高血压进行Logistic回归分析可知,2型糖尿病、冠心病、缺血性脑卒中、心肌供血不足、肥胖、食盐摄入过量、睡眠不足、吸烟酗酒、长期作息时间紊乱、治疗依从性差的结果有统计学意义(P<0.05);经药物干预及非药物干预后,70例难治性高血压患者的总有效率为94.26%。结论难治性高血压的病因较多,如合并2型糖尿病、冠心病、缺血性脑卒中、不良的生活方式等,结合病因对症处理后,患者的疗效较显著。
Objective To study the causes and clinical treatment effect of resistant hypertension.Methods150cases of patients with hypertension admitted and treated in our hospital from April2015to April2017were selected as the observation objects and divided into two groups according to the hypertension diagnosis standards,including70cases in the resistant hypertension group and80cases in the non-resistant hypertension group,and the causes and clinical treatment effect of resistant hypertension were studied.Results The differences in the type2diabetes,coronary heart disease,ischemic stroke,myocardial insufficiency,obesity,salt intake,sleep deprivation,smoking and alcohol abuse,long-term sleep disorders,poor treatment compliance were obvious,the difference is statistically significant(χ^2=22.1401,19.7541,10.3714,11.5447,28.6737,36.3324,23.4386,25.6719,28.2608,58.5938,P<0.05),and the Logistic regression analysis showed that the differences in the type2diabetes mellitus,coronary heart disease,ischemic stroke,myocardial insufficiency,obesity,salt intake,sleep deprivation,smoking and drinking,long-term sleep disorders,poor treatment compliance between the two groups were statistically significant(P<0.05),after the drug intervention and non-drug intervention,the total effective rate was94.26%.Conclusion The causes of resistant hypertension are more,such as type2diabetes,coronary heart disease,cerebral arterial thrombosis and adverse lifestyle,and the curative effect of patients after the systematic treatment is obvious.
作者
叶漫湘
庞伟贤
YE Man-xiang;PANG Wei-xian(Department of Internal Medicine,Nansha District Lingshan Hospital,Guangzhou,Guangdong Province,511473 China)
出处
《中外医疗》
2018年第33期7-9,13,共4页
China & Foreign Medical Treatment
关键词
难治性高血压
病因
治疗
Resistant hypertension
Cause
Treatment
