《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (11): 1298-1303.

• 国际会议报道 • 上一篇    下一篇

北京市军队老年男性高血压患者心脑血管疾病患病率调查

蔡毅 1a，崔华 1b，范利 1b
  

  1. 作者单位：1. 解放军总医院，a.南楼肿瘤内科；b.南楼心内科, 北京市 100853。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-11-25 发布日期:2015-11-25

Prevalence of Cardiovascular and Cerebrovascular Diseases in Army Old Male Hypertensive Patients in Beijing

CAI Yi1a, CUI Hua1b, FAN Li1b
  

  1. 1. a. Department of Geriatric Oncology; b. Department of Geriatric Cardiology, The General Hospital of Chinese People's Liberation Army, Beijing 100853, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-11-25 Online:2015-11-25

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被引次数

4

摘要： 目的 调查北京市军队老年男性高血压患者的心脑血管疾病患病率。方法 2011年10月~2014年4月在解放军总医院老年病房的 719例男性患者(>60岁)，分为正常血压组(n=228)、高血压控制达标组(n=389)和高血压控制不达标组(n=102)。应用二元Logistic回归比较各组心脑血管疾病患病率。结果 与正常血压组相比，高血压控制达标组的心绞痛(OR=2.547, P<0.001)、心肌梗死(OR=2.493, P=0.003)、脑梗死(OR=3.438, P=0.003)和外周动脉疾病(OR=1.766, P=0.026)的患病率上升；高血压控制不达标组的心绞痛(OR=4.123, P<0.001)、腔隙性脑梗死(OR=2.810, P=0.020)、脑梗死(OR=3.484, P=0.001)和外周动脉疾病(OR=3.773, P<0.001)的患病率上升。三组脑出血的患病率无显著性差异(0.9% vs. 1% vs. 1%)。结论 北京市军队老年男性高血压患者的血压控制达标率优于一般人群，但缺血性心脑血管疾病的患病率仍高于正常血压者；降压治疗和危险因素控制可显著降低脑出血风险。

关键词: 高血压, 心血管疾病, 脑血管疾病, 老年, 男性

Abstract: Objective To investigate the prevalence of cardiovascular and cerebrovascular diseases in the army old male hypertensive patients in Beijing. Methods From October 2011 to April 2014, old male patients in the geriatric department of the General Hospital of Chinese People's Liberation Army were enrolled and categorized into 3 groups: normotensive, well-controlled hypertensive and poorly-controlled hypertensive groups. The prevalence of cardiovascular and cerebrovascular diseases was recorded and binary logistic regression was used to analyze the differences among the groups. Results 719 old male patients were enrolled, 228 in normotensive group, 389 in well-controlled hypertensive group and 102 in poorly-controlled hypertensive group. Compared to normotensive group, there was more incidence of angina (OR=2.547, P<0.001), myocardial infarction (OR=2.493, P=0.003), cerebral thrombosis (OR=3.438, P=0.003) and peripheral artery atherosclerotic disease (OR=1.766, P=0.026) in the well-controlled hypertensive group, and it was more of angina (OR=4.123, P<0.001), lacunar infarction (OR=2.810, P=0.020), cerebral thrombosis (OR=3.484, P=0.001) and peripheral artery atherosclerotic disease (OR=3.773, P<0.001) in the poorly-controlled hypertensive group. There was not significant difference of prevalence of cerebral hemorrhage (0.9%, 1% and 1%, respectively). Conclusion In the army old male hypertensive patients in Beijing, control rate of blood pressure was higher than common population, but the prevalence of ischemic diseases was still higher than in the normotensive patients. Anti-hypertension and control of other risk factors could reduce the mobidity of cerebral haemorrahge.

Key words: hypertension, cardiovascular diseases, cerebrovascular diseases, old, male