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目的:研究血压和血糖与老年人不同死因之间的关系,为临床预防提供指导方向。方法:在资料相对完整的死亡患者883例中,选择年龄>60岁的501例作为调查对象。其中,糖尿病人群180例,分为:糖尿病高血压组(DM/HT组,108例,占60.14%)和糖尿病非高血压组(DM组,72例,39.86%);非糖尿病人群321例,分为:非糖尿病高血压组(HT组,130例,40.50%)和非糖尿病非高血压组(非DM/HT组,191例,59.50%)。观察各组患者的性别、年龄、血压、血糖和死因(主要是指心脑血管意外、肿瘤、感染和尿毒症)。结果:①老年人高血压患病率:非糖尿病40%,糖尿病60%,且男性好发;②DM/HT、HT脑出血是第一位死因,超过30%;DM、非DM/HT血管意外仅20%,且以梗塞性疾病为主;③DM、非DM/HT恶性肿瘤是第一位死因;高血压与肿瘤无关(肾梭形细胞癌除外);④糖尿病2个亚组感染患病率高;⑤DM/HT组、HT组尿毒症患病率高于其余两组;⑥多元回归分析后,收缩血压、舒张血压与心脑血管意外相关,与肿瘤、感染无关,前者与尿毒症也有相关性;空腹血糖与4种死因均相关。结论:血压和血糖与老年人不同死因之间有相关性,应针对不同人群进行相应疾病预防。
Objective: To study the relationship between blood pressure and blood sugar and different causes of death in the elderly to provide guidance for clinical prevention. Methods: Among the 883 death patients with relatively complete data, 501 patients aged> 60 years were selected as the survey subjects. Among them, 180 cases of diabetic patients were divided into diabetic hypertension group (DM / HT group, 108 cases, accounting for 60.14%) and diabetic non-hypertension group (DM group, 72 cases, 39.86% They were divided into non-diabetic hypertensive group (HT group, 130 cases, 40.50%) and non-diabetic non-hypertensive group (191 cases, 59.50%). The gender, age, blood pressure, blood sugar and cause of death (mainly cardiovascular and cerebrovascular accidents, tumors, infections and uremia) in each group were observed. Results: ①The prevalence of hypertension in the elderly was 40% of non-diabetic patients and 60% of diabetic patients, and the onset of men was good. ② DM / HT and HT cerebral hemorrhage were the first cause of death, more than 30% Only 20%, and the main infarction disease; ③ DM, non-DM / HT malignancy is the first cause of death; hypertension and tumor has nothing to do (except for spindle cell carcinoma); ④ diabetes subgroup infection prevalence High; ⑤DM / HT group, HT group uremic prevalence higher than the other two groups; ⑥ multivariate regression analysis, systolic blood pressure, diastolic blood pressure and cardiovascular accidents, and has nothing to do with the tumor, infection, the former is also associated with uremia Sex; fasting blood glucose and 4 kinds of cause of death are related. Conclusion: There is a correlation between blood pressure and blood sugar and different causes of death in the elderly. Corresponding diseases should be prevented according to different populations.