CAJ | 학술논문

目的观察老年住院患者体位性低血压(PH)的临床特征.方法测量住院患者的卧立位血压,分析发生PH的临床特征,以及住院期间的临床事件发生情况.结果 (1)老年住院患者中PH发生率为24.11%;(2)伴发高血压病和糖尿病(P＜0.05和P＜0.01)),尤其是基础收缩压和舒张压(P＜0.001)较高的患者,发生收缩压型PH的比率较高;而服用利尿剂(P＜0.05)和钙拮抗剂(P＜0.01)的患者在舒张压型PH患者中比率较高;(3)PH组的患者收缩压下降(31±25)mmHg,舒张压下降(11±15)mmHg;(4)发生头晕或眩晕、晕厥或晕厥先兆、心绞痛或新发心肌梗死、新发脑卒中等临床事件的比率,PH组要明显多于无PH组(P＜0.01).结论 PH是老年住院患者中的一种常见临床现象,容易引起跌倒、心绞痛、脑卒中等,应该重视并预防.
목적 관찰노년주원환자체위성저혈압(PH)적림상특정.방법 측량주원환자적와립위혈압,분석발생PH적림상특정,이급주원기간적림상사건발생정황.결과 (1)노년주원환자중PH발생솔위24.11%;(2)반발고혈압병화당뇨병(P＜0.05화P＜0.01)),우기시기출수축압화서장압(P＜0.001)교고적환자,발생수축압형PH적비솔교고;이복용이뇨제(P＜0.05)화개길항제(P＜0.01)적환자재서장압형PH환자중비솔교고;(3)PH조적환자수축압하강(31±25)mmHg,서장압하강(11±15)mmHg;(4)발생두훈혹현훈、훈궐혹훈궐선조、심교통혹신발심기경사、신발뇌졸중등림상사건적비솔,PH조요명현다우무PH조(P＜0.01).결론 PH시노년주원환자중적일충상견림상현상,용역인기질도、심교통、뇌졸중등,응해중시병예방.
Objective To observe the clinical feature of postural hypotension (PH) in in-hospital elderly patients. Methods Measure the supine and orthostatic blood pressure in patients were measured, and the clinical characteristics of PH and clinical incident during hospital stay were analyzed. Results (1)The PH incidence in elderly patients was 24. 11% ; (2)The incidence of systolic blood pressure PH was higher in patients with concomitant hypertension and diabetes ( P ＜ 0.05 & P ＜0.01), especially in those with relatively higher basal systolic blood pressure and diastolic blood pressure ( P ＜ 0.001); the percentage of patients taking diuretics ( P ＜ 0. 05) and calcium antagonists ( P ＜ 0. 01) were relatively higher in patients with diastolic blood pressure PH; (3)Systolic blood pressure in patients from the group with PH lowered (31 ±25) mmHg, while diastolic blood pressure lowered (11 ±15) mmHg; (4)The incidence of clinical events, including dizziness or vertigo, syncope or pre-syncope, angina pectoris or new-onset myocardial infarction, and new-onset stroke, in PH patients was distinctly higher than that in patients from the group without PH ( P ＜0. 01).Conclusion PH is a kind of common clinical manifestations in elderly patients, which tends to induce tumbling, angina pectoris, stroke, etc, and ought to be paid great attention to and taken preventive measures.