中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
12期
19-21
,共3页
陈晴晴%高志广%任国成%刘培敏%杜玉芝
陳晴晴%高誌廣%任國成%劉培敏%杜玉芝
진청청%고지엄%임국성%류배민%두옥지
老年%高血压%脉压%低密度脂蛋白胆固醇
老年%高血壓%脈壓%低密度脂蛋白膽固醇
노년%고혈압%맥압%저밀도지단백담고순
The elderly%Hypertension%Pulse pressure%LDL-C
目的：探讨老年高血压患者的脉压与低密度脂蛋白胆固醇的关系。方法将老年高血压患者451例按年龄分为四组，A组：年龄65~69岁；B组：70~74岁；C组：75~79岁；D组：≥80岁。按PP水平分为PP1组≤40 mmHg，PP2组41~60 mm Hg，PP3组61~80 mm Hg，PP4组跃80 mm Hg四组。根据低密度脂蛋白胆固醇(LDL-C)水平分为LDL-C(≥2.6 mmol/L)组1，LDL-C(<2.6 mmol/L)组2。分析不同年龄段在四个PP水平组的分布情况及不同水平LDL-C对脉压的影响。结果①四个年龄组在PP2组所占比例分别为59.41豫、48.84豫、55.45豫、51.67豫。在PP4组所占比例分别为4.95豫、3.88豫、3.96豫、7.50豫；②与PP1组相比，PP2组、PP3组、PP4组LDL-C≥2.6 mmol/L所占比例明显增高。结论①不同年龄段的PP水平多集中在41~60 mm Hg。跃80 mm Hg组老年高血压患者中老老年(≥80岁)高血压患者所占比例相对较高；②低密度脂蛋白胆固醇是老年高血压患者脉压升高的危险因素。
目的：探討老年高血壓患者的脈壓與低密度脂蛋白膽固醇的關繫。方法將老年高血壓患者451例按年齡分為四組，A組：年齡65~69歲；B組：70~74歲；C組：75~79歲；D組：≥80歲。按PP水平分為PP1組≤40 mmHg，PP2組41~60 mm Hg，PP3組61~80 mm Hg，PP4組躍80 mm Hg四組。根據低密度脂蛋白膽固醇(LDL-C)水平分為LDL-C(≥2.6 mmol/L)組1，LDL-C(<2.6 mmol/L)組2。分析不同年齡段在四箇PP水平組的分佈情況及不同水平LDL-C對脈壓的影響。結果①四箇年齡組在PP2組所佔比例分彆為59.41豫、48.84豫、55.45豫、51.67豫。在PP4組所佔比例分彆為4.95豫、3.88豫、3.96豫、7.50豫；②與PP1組相比，PP2組、PP3組、PP4組LDL-C≥2.6 mmol/L所佔比例明顯增高。結論①不同年齡段的PP水平多集中在41~60 mm Hg。躍80 mm Hg組老年高血壓患者中老老年(≥80歲)高血壓患者所佔比例相對較高；②低密度脂蛋白膽固醇是老年高血壓患者脈壓升高的危險因素。
목적：탐토노년고혈압환자적맥압여저밀도지단백담고순적관계。방법장노년고혈압환자451례안년령분위사조，A조：년령65~69세；B조：70~74세；C조：75~79세；D조：≥80세。안PP수평분위PP1조≤40 mmHg，PP2조41~60 mm Hg，PP3조61~80 mm Hg，PP4조약80 mm Hg사조。근거저밀도지단백담고순(LDL-C)수평분위LDL-C(≥2.6 mmol/L)조1，LDL-C(<2.6 mmol/L)조2。분석불동년령단재사개PP수평조적분포정황급불동수평LDL-C대맥압적영향。결과①사개년령조재PP2조소점비례분별위59.41예、48.84예、55.45예、51.67예。재PP4조소점비례분별위4.95예、3.88예、3.96예、7.50예；②여PP1조상비，PP2조、PP3조、PP4조LDL-C≥2.6 mmol/L소점비례명현증고。결론①불동년령단적PP수평다집중재41~60 mm Hg。약80 mm Hg조노년고혈압환자중로노년(≥80세)고혈압환자소점비례상대교고；②저밀도지단백담고순시노년고혈압환자맥압승고적위험인소。
Objective To explore the relations between pulse pressure and LDL-C for elderly patients with hyperten-sion. Methods A total of 451 elderly patients with hypertension were selected and divided into four groups. Group A was 65 to 69 years of age, group B was 70 to74 years of age, group C was 75 to 79 years of age, and group D was ≥80 years of age. They were also divided into four groups according to PP levels: PP1 group ≤40 mm Hg, PP2 group 41 to 60 mm Hg, PP3 group 61 to 80 mm Hg, and PP4 group>80 mm Hg. They were divided into LDL-C group 1 (≥2.6 mmol/L) and LDL-C group 2 (<2.6 mmol/L) according to their LDL-C levels. Distribution of different age groups in four PP groups and the effects of different levels of LDL-C on pulse pressure were analyzed. Results (1) The propor-tions of PP2 group among the four age groups were 59.41%, 48.84%, 55.45% and 51.67%. The proportions of PP4 a-mong the four age groups were 4.95%, 3.88%, 3.96% and 7.50%. (2) Compared with PP1 group, the proportion of LDL-C ≥2.6 mmol/L in PP2 group, PP3 group and PP4 group was significantly increased. Conclusion (1) PP levels in different ages groups are concentrated on 41-60 mmHg. Among elderly patients with hypertension>80 mmHg, the pro-portion of patients with advanced age (≥years of age) is relatively higher. (2) LDL-C is the risk factor of increased pulse pressure for elderly patients with hypertension.
