[1]郑荔娴 黄 峰 黄妍洁 林 帆 朱鹏立.老年人体位性低血压现况及与卧位血压水平相关性分析[J].福建医药杂志,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.
点击复制

老年人体位性低血压现况及与卧位血压水平相关性分析()
分享到：

《福建医药杂志》[ISSN:1002-2600/CN:35-1071/R]

卷:
41
期数:
2019年04期
页码:
5-8
栏目:
临床研究
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
文章编号:
1002-2600(2019)04-0005 -04
作者:
郑荔娴 黄 峰1 黄妍洁1 林 帆1 朱鹏立1; 2
福建省立医院心血管内科(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
关键词:
老年人;  体位性低血压;  卧位高血压
Keywords:
elderly;  orthostatic hypotension;  supine hypertension
分类号:
R544.1; R544.2
文献标志码:
A
摘要:
目的 了解老年人群体位性低血压(OH)的患病现况,探讨其与卧位血压水平之间的 关系。方法 调查2015年9月至2016年1月福建省立医院老年科(门诊/体检)年龄≥60岁患者1 049例,测量卧位及立位1 min、3 min血压。结果 OH患病率为23.5%,随年龄增加有增大趋势 (P<0.05),卧位血压升高组较卧位血压正常组OH患病率明显升高(31.0% vs 17.7%,P<0.01); OH患病率随卧位收缩压及舒张压水平升高有增大趋 势(P值均<0.01)。logistic逐步回归分析显示年龄每增加1岁、卧位收缩压升高 组、卧位舒张压升高组OH患病风险分别是对照组的1.023、1.662、1.900倍。结论 OH患病率 高,且与年龄、卧位血压水平正相关。
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.

参考文献/References:

[1] Raiha I,Luutonen S,Piha J,et al.Prevalence,predisposing factors,and prognostic importance of postural hypotension[J]. Arch Intern Med,1995,155 (9):930-935.
[2] Fedorowski A,Burri P,Melander O.Orthostatic hypotension in genetically related hypertensive and normotensive individuals[J]. J Hypertens,2009,27 (5):976-982.
[3] Sasaki O,Nakahama H,Nakamura S,et al.Orthostatic hypotension at the introductory phase of haemodialysis predicts all-cause mortality[J]. Nephrol Dial Transplant,2005,20(2):377-381.
[4] Verwoert G C,Mattace-Raso F U,Hofman A,et al.Orthostatic hypotension and risk of cardio-vascular disease in elderly people:the Rotterdam study[J]. J Am Geriatr Soc,2008,56(10):1816-1820.
[5] Ricci F,De Caterina R,Fedorowski A.Orthostatic hypoten-sion epidemiology, prognosis and treatment[J]. J Am Coll Cardiol,2015,66(7):848-860.
[6] The consensus committee of the American autonomic society and the American academy of neurology.Consensus statement on the definition of orthostatic hypotension, pure autonomic failure, and multiple system atrophy[J]. Neurology,1996,46(5):1470-1478.
[7] 樊晓寒,孙凯,王建伟,等.中老年高血压人群体位性低血压发生率及相关危险因素 [J].中华高血压杂志,2009,17(10):896-900.
[8] 韩婷婷,冯美江,鲁翔,等.80岁以上老年人体位性低血压患病率及相关危险因素分 析[J].中华老年医学杂志,2016,35(6):662-665.
[9] Cooke J,Carew S,Quinn C,et al.The prevalence and pathological correlates of orthostatic hypotension and its subtypes when measured using beat-to-beat technology in a sample of older adults living in the community[J]. Age Ageing,2013,42(6):709-714.
[10] Lagi A,Spini S.Clinostatichypertension and orthostatichypotension[J]. Clin Cardiol,2010,33(6):E10-15.
[11] Moonen J E,Foster-Dingley J C,de Ruijter W,et al.Effectofdiscontinuation of antihypertensivemedication on orthostatic hypotension in older persons with mild cognitive impairment: the DANTE Study Leiden[J].Age Ageing,2016,45(2):249-255.
[12] 林仲秋,张金霞,冯国飞,等.老年高血压患者体位性低血压与降压治疗的关系[J]. 中华老年医学杂志,2014,33(1):14-17.
[13] Bouhanick B,Meliani S,Doicet J,et al.Orthostatic hypotension is associated with more severe hypertension in elderly autonomous diabetic patients from the French Gerodiab study at inclusion[J]. Ann Cardiol Angeiol (Paris),2014,63(3):176-182.
[14] Kearney F,Moore A.Treatment of combined hypertension and orthostatic hypotension in older adults: more questions than answers still remain[J].Expert Rev Cardiovasc Ther,2009,7(6):557-560.

相似文献/References:

[1]陈妍,林娟,杨曼华,等.认知负荷理论干预老年T2DM患者饮食控制的效果及影响因素分析[J].福建医药杂志,2021,43(04):14.
[2]黄敏,甘霖.住院老年病人失能现状调查及影响因素分析[J].福建医药杂志,2022,44(02):131.

备注/Memo

备注/Memo:
基金项目:北京力生心血管健康基金会 1 福建医科大学 福建省立医院老年科 福建省临床老年病研究所; 2 通信作者
更新日期/Last Update: 2019-08-15