老年人群清晨高血压患病率及的影响因素分析.docVIP

老年人群清晨高血压患病率及的影响因素分析 　　[摘要] 目的 了解老年人群清晨高血压患病率及相关影响因素。 方法 回顾性分析2012年7月～2013年12月在某中心60周岁以上老年健康体检人群，分析比较老年人群清晨高血压患病情况，以及性别、年龄、体重指数（BMI）、生活方式、患相关疾病、血糖、血脂对收缩压、舒张压的影响。 结果 老年人群清晨高血压总患病率20.1%，主要为轻中度高血压和单纯收缩期高血压为主，女性患病率明显高于男性，各组间比较差异有统计学意义（P0.05），建议在临床治疗清晨高血压中仍需强调以健康生活方式为基础，动态血压监测和信息化管理是清晨血压管理的有效新方式。 　　[关键词] 老年人群；清晨高血压；患病率；影响因素 　　[中图分类号] R544.1 [文献标识码] B [文章编号] 1673-9701（2015）15-0021-03 　　[Abstract] Objective To understand the early morning hypertension prevalence rate and related factors in the aged. Methods Retrospective analysis of ≥60 health examination in the aged from July 2012 to December 2013. statistics gender，age with prevalence rate in the early morning hypertension patients. multiple linear regression analysis gender， age， smoking， drinking， salt intake， exercise time， BMI， blood glucose， blood lipid，and diabetes or other relevant diseases effect on systolic blood pressure and diastolic blood pressure. Results The elderly morning hypertension prevalence rate was 20.1%， most of them was mild-to-moderate hypertension，isolated systolic hypertension. The influence factors of systolic blood pressure were gender， age， high salt diet， smoking， blood glucose， TG， diabetes or other relevant diseases. The influence factors of diastolic blood pressure were gender， age， high salt diet， smoking， drinking， physical exercise，blood glucose， blood lipid and diabetesor other relevant diseases. Conclusion The influence factors of early morning hypertension were gender， age， high salt diet， smoking， drinking， physical exercise， blood glucose， blood lipid and diabetes or other relevant diseases. So treatment of early morning hypertension still insist on healthy lifestyle， wearable 24 h ambulatory blood pressure monitoring and information management could better manage the early morning blood pressure. 　　[Key words] The aged；Early morning hypertension；Prevalence rate；Influence factors 　　高血压是心脑血管病最重要的独立致病危险因素，有数据表明清晨是心脑血管事件的高发时段，24 h正常平稳血压可有效预防心脑血管病的发生，提示清晨血压与心脑血管疾病有着密切联系，尤其是老年人