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目的探讨不同年龄老年高血压患者并发症及合并糖尿病发生情况。方法选择老年高血压患者125例并按患者年龄分为4组,A组:60~64岁(30例);B组65~69岁(32例);C组70~74岁(30例);D组≥75岁(33例),观察各组患者并发症及合并糖尿病发生情况。结果 A组患者发生并发症26例次,B组为27例次,C组为35例次,D组为45例次,随着患者年龄的增加,并发症发生率也有所增加。在A、B及C组患者中,并发症发生率位居前4位的分别为脑血管病、心肌梗死、心功能不全和肾功能不全,低于其合并糖尿病发病率。D组并发症发生率位居前4位的分别为脑血管病、心功能不全、肾功能不全、心肌梗死,高于其合并糖尿病发病率。D组与其他3组患者比较,心功能不全及肾功能不全发生率增加,差异具有统计学意义(P<0.05)。结论不同年龄段老年高血压患者并发症及合并糖尿病发生率有所不同,应根据各自的特点进行有针对性的临床防治。
Objective To investigate the incidence of complications and diabetes in elderly hypertensive patients of different ages. Methods A total of 125 elderly patients with hypertension were divided into four groups according to the age of the patients. Group A: 60-64 years (30 cases); Group B (65-69 years) (32 cases); Group C: 70-74 years (30 cases) ; D group ≥75 years old (33 cases), the complication and the incidence of diabetes mellitus in each group were observed. Results A group of patients with complications occurred in 26 cases, B group of 27 cases, C group of 35 cases, D group of 45 cases, with the patient’s age, the complication rate also increased. Among the patients in groups A, B and C, the top four complication rates were cerebrovascular disease, myocardial infarction, cardiac insufficiency and renal insufficiency, which were lower than the incidence of diabetes mellitus. The incidence of complications in group D was highest in the first four cases of cerebrovascular disease, cardiac insufficiency, renal insufficiency, myocardial infarction, higher than the incidence of diabetes mellitus. Compared with the other three groups, the incidence of cardiac insufficiency and renal insufficiency increased in group D and the difference was statistically significant (P <0.05). Conclusion The incidence of complications and diabetes mellitus in elderly hypertensive patients of different age groups are different. According to their respective characteristics, we should carry out targeted clinical prevention and treatment.