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[1]鄭荔嫻 黃 峰 黃妍潔 林 帆 朱鵬立.老年人體位性低血壓現(xiàn)況及與臥位血壓水平相關(guān)性分析[J].福建醫(yī)藥雜志,2019,41(04):5-8.
　ZHENG Lixian,HUANG Feng,HUANG Yanjie,et al.Status of orthostatic hypotension in the elderly and its correlation with the level of blood pressure in supine position[J].FUJIAN MEDICAL JOURNAL,2019,41(04):5-8.
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老年人體位性低血壓現(xiàn)況及與臥位血壓水平相關(guān)性分析()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期數(shù):
2019年04期
頁碼:
5-8
欄目:
臨床研究
出版日期:
2019-08-15

文章信息/Info

Title:
Status of orthostatic hypotension in the elderly and its correlation with the level of blood pressure in supine position
文章編號(hào):
1002-2600(2019)04-0005 -04
作者:
鄭荔嫻 黃 峰1 黃妍潔1 林 帆1 朱鵬立1; 2
福建省立醫(yī)院心血管內(nèi)科(福州 350001)
Author(s):
ZHENG Lixian; HUANG Feng; HUANG Yanjie; LIN Fan; ZHU Pengli
Department of Cardiovascular Medicine, Fujian Provincial Hospital,Fuzhou,Fujian 350001,China
關(guān)鍵詞:
老年人;  體位性低血壓;  臥位高血壓
Keywords:
elderly;  orthostatic hypotension;  supine hypertension
分類號(hào):
R544.1; R544.2
文獻(xiàn)標(biāo)志碼:
A
摘要:
目的 了解老年人群體位性低血壓(OH)的患病現(xiàn)況,探討其與臥位血壓水平之間的 關(guān)系。方法 調(diào)查2015年9月至2016年1月福建省立醫(yī)院老年科(門診/體檢)年齡≥60歲患者1 049例,測量臥位及立位1 min、3 min血壓。結(jié)果 OH患病率為23.5%,隨年齡增加有增大趨勢 (P<0.05),臥位血壓升高組較臥位血壓正常組OH患病率明顯升高(31.0% vs 17.7%,P<0.01); OH患病率隨臥位收縮壓及舒張壓水平升高有增大趨 勢(P值均<0.01)。logistic逐步回歸分析顯示年齡每增加1歲、臥位收縮壓升高 組、臥位舒張壓升高組OH患病風(fēng)險(xiǎn)分別是對(duì)照組的1.023、1.662、1.900倍。結(jié)論 OH患病率 高,且與年齡、臥位血壓水平正相關(guān)。
Abstract:
Objective To investigate the prevalence of orthostatic hypotension in the elderly population and the relationship between OH and blood pressure in supine position.Methods A total of 1 049 patients aged 60 or above in the geriatric department(outpatient/medical examination)of Fujian Provincial Hospital from September 2015 to January 2016 were investigated,and their blood pressure was measured in the supine and vertical position for 1 min and 3 min respectively.Results The prevalence of OH was 23.5%, with an increasing trend with age(P<0.05), and the prevalence of OH was significantly higher in the group with increased blood pressure in supine position than in the group with normal blood pressure in supine position(31.0% vs 17.7%,P<0.01).The prevalence of OH increased with the increase of systolic blood pressure and diastolic blood pressure in supine position(all P<0.01).Logistic stepwise regression analysis showed that the risk of OH was 1.662 and 1.900 times higher in the increased systolic blood pressure group and diastolic blood pressure group than in the control group.Moreover,the risk of OH is 1.023 times higher for each additional year of age than for the control group.Conclusion The prevalence of OH was high and positively correlated with age and the level of blood pressure in supine position.

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備注/Memo

備注/Memo:
基金項(xiàng)目:北京力生心血管健康基金會(huì) 1 福建醫(yī)科大學(xué) 福建省立醫(yī)院老年科 福建省臨床老年病研究所; 2 通信作者
更新日期/Last Update: 2019-08-15