目的：调查社区老年高血压患者合并其他心血管危险因素及心脑血管疾病状况，为社区高血压管理提供借鉴。方法：抽取社区老年高血压患者200例，收集患者临床资料，进行对比分析。结果：男性糖尿病率14.91%低于女性的20.93%，吸烟率48.25%、缺乏运动率37.72%高于女性的19.77%、30.23%，伴有≥2种危险因素人均脑卒中与心脏病发作住院次数高于伴有1种危险因素患者，差异具有统计学意义(P＜0.05)。结论：脑卒中与心脏病发作住院次数与伴有心血管病危险因素件数呈正相关；应开展老年高血压疾病心血管病风险因素筛查，关注高危人群，积极转变后天因素，有助于降低心脑血管病发生风险，改善患者预后。%Objective:To investigate the condition of community senile hypertension patients combined with other cardiovascular risk factors and cardiovascular and cerebrovascular diseases,to provide reference for the community hypertension management. Methods:200 cases of community senile hypertension patients were selected.Their clinical data were selected and contrastively analyzed.Results:The male diabetes rate 14.91% was lower than 20.93% of female;the smoking rate 48.25% and the lack of movement rate 37.72% were higher than 19.77% and 30.23% of female.The average stroke and heart attack hospitalization number of patients with 2 pieces or more were higher than that of patients with 1 piece or below,and the difference was statistically significant(P<0.05).Conclusion:The stroke and heart attack hospitalization number is positively correlated with the quantity of cardiovascular disease risk factors.It should develop the screening for senile hypertension disease cardiovascular disease risk factors,focus on high-risk groups,positive change acquired factors,help to reduce the risk of cardiovascular and cerebrovascular disease,and improve the prognosis of the patients.
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