Objective To investigate the correlation among postprandial hypotension(PPH),vascular physiological parameters and asthenic degree in elderly patients with hypertension.Methods The very old patients with hypertension(averagely aged 89 years old,n=89)were chosen from Air Force Specialty Medical Center of Chinese PLA Air Force Medical University.The patients were divided,according to whether they had PPH or not,into PPH group and non-PPH group.The vascular physical parameters were described in all groups.The relationship among PPH and different influence factors was analyzed based on scales of asthenia and self-care ability.Results The level of ankle-brachial index(ABI)was significantly lower(1.10±0.13 vs.1.17±0.13,P＜0.05),and cases of fundus angiosclerosis were significantly more(34.7％vs.10.0％,P＜0.05)in PPH group than those in non-PPH group,while asthenic patients(55.0％vs.32.7％,P＜0.05)were more in non-PPH group than those in non-PPH group.The results of binary Logistic regression analysis showed that asthenic degree(OR=0.225,95％CI:0.072～0.709,P＜0.05),ABI(OR=0.001,95％CI:0.000～0.215,P＜0.05)and severity of fundus angiosclerosis(OR=4.904,95％CI:1.271～18.920,P＜0.05)had significant influence on PPH occurrence.Conclusion PPH,ABI and fundus angiosclerosis had significant correlation with asthenic degree in very old patients with hypertension.
维普
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