To investigate and analyze the effect of quantitative self-rating health scale in elderly patients with hypertension. From January 2018 to October 2018, 95 elderly hypertensive patients managed by a community health service center in a city were selected, and 100 healthy persons were selected in the same period. Self-rated health assessment scale and general data questionnaire were used to investigate and analyze them. The total score of self-rated health assessment scale and its dimensions in elderly patients with hypertension were significantly lower than those in healthy control group (p<0.05), except that there was no significant difference in cognitive function (p> 0.05).The scores of physical health, social health and self-rated health assessment scale in elderly patients with hypertension were correlated with gender, age and educational level in varying degrees (p<0.05), but not with marital status and living conditions (p>0.05). The scores of mental health and total self-rated health were correlated with age and educational level (p<0.05), but not with gender, marital status and living condition (p>0.05). Multiple stepwise regression analysis showed that age was an important factor affecting self-rated health assessment scale in elderly patients with hypertension (p<0.05). The sex, age and education are closely related to self-rated health assessment scale scores. Effective measures should be taken to improve health status and quality of life of elderly patients with hypertensions.