中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2011年
5期
457-462
,共6页
林仲秋%谢志泉%王银玲%钱云峰%吴自强%潘春梅%王晓会
林仲鞦%謝誌泉%王銀玲%錢雲峰%吳自彊%潘春梅%王曉會
림중추%사지천%왕은령%전운봉%오자강%반춘매%왕효회
低血压,直立性%患病率%老年人
低血壓,直立性%患病率%老年人
저혈압,직립성%환병솔%노년인
Hypotension,orthostatic%Prevalence%Aged
目的 研究离退休老年人体位性低血压(OH)的患病率及临床特点.方法 通过对2010年广州军区离退休干部体检,筛选出1174例65岁以上的老年患者,对其进行健康问卷普查,并测量卧位及立位后0、2 min血压和心率,并分OH组与非OH组进行比较.OH定义为直立位后3 min内收缩压和(或)舒张压下降≥20/10 mm Hg(1 mm Hg=0.133 kPa).结果 65岁以上老年OH的患病率为25.6%,直立后即刻收缩压下降≥20 mm Hg和(或)舒张压下降≥10 mm Hg(OH-0)者占21.6%;直立2 min后收缩压下降≥20 mm Hg和(或)舒张压下降≥10 mm Hg(OH-2)者占20.7%.OH组和非OH组高血压、心肌梗死、心力衰竭、缺血性脑卒中、糖尿病的患病率分别为83.1%对68.6%、12.0%对6.4%、13.0%对6.3%、22.3%对16.2%、47.2%对39.2%,OH组均高于非OH组,两组比较差异有统计学意义(P<0.05);OH组降压药物治疗率虽稍高于非OH组(88.0%对83.6%),但差异无统计学意义(P=0.115);两组使用的降压药物种类也无明显差异.结论 OH在离退休老年人较常见,OH患者高血压、糖尿病、心脑血管疾病的患病率较高,降压药物对OH无明显影响.
目的 研究離退休老年人體位性低血壓(OH)的患病率及臨床特點.方法 通過對2010年廣州軍區離退休榦部體檢,篩選齣1174例65歲以上的老年患者,對其進行健康問捲普查,併測量臥位及立位後0、2 min血壓和心率,併分OH組與非OH組進行比較.OH定義為直立位後3 min內收縮壓和(或)舒張壓下降≥20/10 mm Hg(1 mm Hg=0.133 kPa).結果 65歲以上老年OH的患病率為25.6%,直立後即刻收縮壓下降≥20 mm Hg和(或)舒張壓下降≥10 mm Hg(OH-0)者佔21.6%;直立2 min後收縮壓下降≥20 mm Hg和(或)舒張壓下降≥10 mm Hg(OH-2)者佔20.7%.OH組和非OH組高血壓、心肌梗死、心力衰竭、缺血性腦卒中、糖尿病的患病率分彆為83.1%對68.6%、12.0%對6.4%、13.0%對6.3%、22.3%對16.2%、47.2%對39.2%,OH組均高于非OH組,兩組比較差異有統計學意義(P<0.05);OH組降壓藥物治療率雖稍高于非OH組(88.0%對83.6%),但差異無統計學意義(P=0.115);兩組使用的降壓藥物種類也無明顯差異.結論 OH在離退休老年人較常見,OH患者高血壓、糖尿病、心腦血管疾病的患病率較高,降壓藥物對OH無明顯影響.
목적 연구리퇴휴노년인체위성저혈압(OH)적환병솔급림상특점.방법 통과대2010년엄주군구리퇴휴간부체검,사선출1174례65세이상적노년환자,대기진행건강문권보사,병측량와위급립위후0、2 min혈압화심솔,병분OH조여비OH조진행비교.OH정의위직립위후3 min내수축압화(혹)서장압하강≥20/10 mm Hg(1 mm Hg=0.133 kPa).결과 65세이상노년OH적환병솔위25.6%,직립후즉각수축압하강≥20 mm Hg화(혹)서장압하강≥10 mm Hg(OH-0)자점21.6%;직립2 min후수축압하강≥20 mm Hg화(혹)서장압하강≥10 mm Hg(OH-2)자점20.7%.OH조화비OH조고혈압、심기경사、심력쇠갈、결혈성뇌졸중、당뇨병적환병솔분별위83.1%대68.6%、12.0%대6.4%、13.0%대6.3%、22.3%대16.2%、47.2%대39.2%,OH조균고우비OH조,량조비교차이유통계학의의(P<0.05);OH조강압약물치료솔수초고우비OH조(88.0%대83.6%),단차이무통계학의의(P=0.115);량조사용적강압약물충류야무명현차이.결론 OH재리퇴휴노년인교상견,OH환자고혈압、당뇨병、심뇌혈관질병적환병솔교고,강압약물대OH무명현영향.
objective To determine the prevalence and clinical characteristics of orthostatic hypotension(OH)in the elderly and retired population.Methods A total of 1174 elderly and retired people underwent health screening physical examination in Guangzhou military region were included.The orthostatie blood pressure and heart rate were measured in supine position after resting for more than 5 minutes and at 0 and 2 rain after standing.Subjects were divided into OH positive group and OH negative group.Orthostatic hypotension was defined as 20 mm Hg(1 mm Hg=0.133 kPa)or greater decrease in SBP and/or 10 mm Hg or greater decrease in DBP after standing.Results The prevalence of OH in this cohort was 25.6%at either 0 or 2 min after standing(21.6%or 20.7%respectively).Incidence of hypertension,myocardial infarction(MI),heart failure(HF),ischemic stroke and diabetes was significantly higher in OH positive group than in OH negative group(all P<0.05),however,antihypertensive medication was similar between the two groups.Conclusions Orthostatic hypotension is comnlon in the elderly and retired population and is associated with increased risk of hypertension,diabetes mellitus and cardiovascular disease.
