摘要
目的探讨老年高血压合并心力衰竭的危险因素,为减少心衰发生,减少致残率、致死率提供依据。方法回顾性调查老年高血压病患者235例,对100例合并心衰者(观察组)与135例未合并心衰者(对照组)进行Logistic回归分析。结果多因素Logistic逐步回归分析显示:血压达标,合并感染,合并高尿酸血症,左室肥厚,吸烟对高血压合并心衰的影响有显著意义(P<0.05)。结论积极控制老年高血压,增加血压达标率,控制左室肥厚,同时控制高血脂高尿酸血症等危险因素对减少老年高血压病患者心衰的发生减少致残率、致死率有积极意义。
Objective To explore the risk factors of hypertension with heart failure in the elderly and to provide the basis in reducing disability and mortality in patients of old age. Methods We retrospectively investigated 235 older adults with hypertension.The patients were divided into two groups based on different situations：100 patients of hypertension with heart failure（observation group）135 patients of hypertension without heart failure（comparative group）Logistic regression analysis was done on these two groups of patients. Results Multi-factor Logistic regression analysis has shown that many factors are of great significance in the patients of hypertension with heart failure.（P0.05）These contributory factors are as follows：the reaching standard rate of blood pressure, the combination of hypertension with infections/hyperlipidaemia/hyperuricaemia, hypertrophy of left ventricular, smoking. Conclusion Our conclusion is that some therapeutic methods are of great importance in lowering the incidence of the heart failure in old patients of hypertension as well as reducing disability and mortality.These methods are as follows：Actively controlling blood pressure in the very elderly, enhancing the reaching standard rate of blood pressure, curbing the risk factors such as LVH（left ventricular hypertrophy）, hyperlipidaemia and hyperuricaemia.
出处
《中国实用医药》
2011年第2期38-39,共2页
China Practical Medicine
关键词
心力衰竭
老年
高血压
危险因素
Heart failure
Geriatric
Hypertension
Risk factors
