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什么是老年高血压? 王晓楠 浙江大学医学院附属杭州市第一人民医院 老年高血压,顾名思义,就是在老年人群中,发生的高血压,那么在,大于等于60岁老年人群中,出现一个持续性的,或者是非同一天,出现三次以上的血压增高,并且收缩压大于等于140毫米汞柱,或者是舒张压,大于等于90毫米汞柱。这种情况下,我们定义为老年性高血压,那在老年性高血压中,还有一种情况就是,收缩压大于等于140毫米汞柱,但是舒张压并不高。这种情况下,我们给他定义为:单纯收缩性高血压。那老年高血压,是和哪些因素有关系呢?老年高血压,其实多是原发性的高血压,那原发性的高血压,它的机制并不是很明确,但和很多因素是相关的,比如说遗传因素,比如说这种环境因素,还有肥胖,饮食习惯,包括吸烟,过量饮酒,还有老年人这种睡眠不好,情绪紧张,包括一些焦虑,这些其实都和高血压的发生,是有相关性的。 What is senile hypertension? Hypertension in the elderly, seeing the name of a thing one thinks of its function, Among the elderly, High blood pressure, So in, Among the elderly aged 60 years and over, There's a continuity, Or not on the same day, Blood pressure increases more than three times, And a systolic pressure of 140 mm Hg or more, Or diastolic pressure, 90 mm Hg or more. In this case, We define it as senile hypertension, That's in old age hypertension, There is another situation, Systolic pressure 140 mm Hg or more, But the diastolic pressure is not high. In this case, We defined him as: simple systolic hypertension. The old man had high blood pressure, What factors are related to it? Hypertension in the elderly, In fact, most of them are primary hypertension, The primary hypertension, Its mechanism is not very clear, But it's related to a lot of factors, For example, genetic factors, For example, this kind of environmental factor, And obesity, eating habits, Including smoking, Excessive drinking, And the elderly don't sleep well, Emotional tension, Including some anxiety, These are actually related to the occurrence of high blood pressure, It's relevant.