Li Nan-fang, Wang Lei, Zhou Ke-ming, Wang Xin-ling, Zu Fei-ya, Zhang De-lian, Zhang Yan-min, Chang Gui-juan
Department of Hypertension, People's Hospital of Xinjiang Uygur Autonomous Region, Hypertension Institute of Xinjiang Uygur Autonomous Region, Urumuqi 830001, China.
Zhonghua Xin Xue Guan Bing Za Zhi. 2007 Sep;35(9):865-8.
To analyze the etiology of the patients with hypertension from the People's Hospital of Xinjiang Uigur Autonomous Region, and to investigate the distribution of hypertension in gender and different ages.
From September 1997 to December 2005, the data of 4642 patients with hypertension was retrospective studied.
(1) Of all the patients, 85.24% were essential hypertension (EH) and 14.76% were secondary hypertension (SH). Higher prevalence of sleep apnea syndrome (42.92%) and anxiety (15.04%) was found in secondary hypertension. The highest prevalence of primary aldosteronism (12.12%) was found in endocrine hypertension. (2) The male patients with hypertension were more than the female ones, and the incidence of EH, sleep apnea syndrome (SAS) and primary aldosteronism was higher in male patients than female ones, and the following was less than female: anxiety, pheochromocytoma and renovascular hypertension. (3) Among the patients with SH, 21.9% were found in youth, and 9.85% in aged.
For the young, SH should be excluded, especially SAS and anxiety should be screened and differentiated. The highest prevalence of endocrine hypertension is primary aldosteronism in young and middle-aged male. The prevalence of pheochromocytoma in female is higher than that of male.
分析新疆维吾尔自治区人民医院高血压患者的病因，探讨高血压在性别及不同年龄段的分布情况。
回顾性研究1997年9月至2005年12月期间4642例高血压患者的数据。
（1）所有患者中，原发性高血压（EH）占85.24%，继发性高血压（SH）占14.76%。继发性高血压患者中睡眠呼吸暂停综合征（42.92%）和焦虑症（15.04%）的患病率较高。内分泌性高血压中原发性醛固酮增多症的患病率最高（12.12%）。（2）高血压男性患者多于女性，男性患者中EH、睡眠呼吸暂停综合征（SAS）和原发性醛固酮增多症的发病率高于女性，而焦虑症、嗜铬细胞瘤和肾血管性高血压的发病率低于女性。（3）在SH患者中，21.9%为青年患者，9.85%为老年患者。
对于年轻人，应排除SH，尤其应筛查和鉴别SAS及焦虑症。中青年男性内分泌性高血压中原发性醛固酮增多症的患病率最高。女性嗜铬细胞瘤的患病率高于男性。
