目的调查分析北京市军队干休所80岁以上老年人高血压的患病率、知晓率、服药率、控制率、治疗现状及伴随的心脑血管病、糖尿病等疾病的患病率。方法入户调查北京市28个军队干休所80~99岁的老年人1002例,测量血压,按调查表收集所需相关资料,并查阅干休所门诊部的体检表或定点医院的住院病历,进行分析总结。结果1002例中,高血压患者673例,患病率为67.17%,其中单纯收缩期高血压(ISH)455例,占高血压的67.61%;高血压的知晓率为91.08%,服药率为78.60%,控制率为60.03%;高血压组患者的冠心病、脑血管病、痴呆、致残、肾功能不全、高胆固醇血症、糖尿病、糖耐量减低的发生率明显高于非高血压组。结论北京市军队干休所80岁以上老年高血压患者中以ISH为主,高血压患病率高,知晓率、服药率及控制率也高,药物治疗以服用钙拮抗剂为主,积极治疗和控制高血压对提高老年患者的生活质量和远期生存率具有重要意义。 Objective To investigate and analyze the prevalence of hypertension, awareness rate, medication rate, control rate, treatment status, and the prevalence of cardiovascular and cerebrovascular diseases, diabetes mellitus and other diseases in the elderly over 80 years old in Beijing army dry-rest. Methods A total of 1002 elderly people aged 80-99 years from 28 military cadres in Beijing were surveyed. Blood pressure was measured. Relevant data were collected according to the questionnaire. The physical examination form of the outpatient department of the dry-bed clinic or the inpatient medical records of designated hospitals , For analysis and summary. Results In 1002 cases, 673 cases were hypertensive patients, with a prevalence of 67.17%, of which 455 cases were isolated systolic hypertension (ISH), accounting for 67.61% of all cases; hypertension was 91.08% and medication rate was 78.60 %, And the control rate was 60.03%. The incidence of coronary heart disease, cerebrovascular disease, dementia, disability, renal insufficiency, hypercholesterolemia, diabetes mellitus, and impaired glucose tolerance in hypertensive patients was significantly higher than that in non-hypertensive patients. Conclusion ISH is the mainstay of elderly hypertensive patients over 80 years old in the army dry-rest in Beijing. The prevalence of hypertension is high, awareness rate, medication rate and control rate are high. Drug therapy takes calcium antagonists as the mainstay and active treatment And controlling hypertension is of great importance to improve the quality of life and long-term survival of elderly patients.