应用依那普利治疗３０例老年性肾实质性高血压，治疗前后随访观察表明，治疗后血压下降，头晕、头痛症状明显减轻，心功能不全、心绞痛得到不同程度纠正及缓解，２４ｈ尿蛋白排出量减少，但心率、眼底改变、血尿变化不明显。观察结果显示，有效控制老年肾实质性高血压，能延缓肾功能不全的进展，以及减少心脑血管并发症的发生。 Enalapril treatment of 30 cases of senile renal parenchymal hypertension, follow-up before and after treatment showed that after treatment, blood pressure, dizziness, headache symptoms were significantly reduced, cardiac insufficiency, angina pectoris were corrected to varying degrees and mitigation, 24h urinary protein excretion Decreased, but the heart rate, fundus changes, hematuria was not obvious. Observations show that the effective control of senile renal parenchymal hypertension, can delay the progress of renal insufficiency, and reduce the incidence of cardiovascular and cerebrovascular complications.