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目的:探讨老年高血压的临床特点及降压药物的合理应用方法。方法:回顾性分析老年高血压患者的临床资料,包括病史、诊断结果、并发症及药物治疗等方面的数据,并进行统计分析。结果:老年高血压的临床特点为:病史长,对血压升高有一定的耐受性;以收缩压增高为主,脉压增大;血压波动较大;高血压分级及危险因素以2、3级为主,高危及极高危比例高;并发症发生率高;降压药物种类、次数多;服药依从性差。结论:老年高血压具有其自身的临床特征,可在非药物治疗的基础上给予药物治疗:降压药物应从小剂量联用开始;个体化选择药物;强调脏器的保护及降压外效应;注意调整用药量。
Objective: To investigate the clinical features of elderly hypertension and the rational use of antihypertensive drugs. Methods: The clinical data of elderly patients with hypertension were retrospectively analyzed. The data including medical history, diagnosis, complications and medication were analyzed retrospectively. Results: The clinical features of elderly hypertension were as follows: a long history of having a certain tolerance to elevated blood pressure; mainly systolic blood pressure, pulse pressure increased; blood pressure fluctuations; hypertension classification and risk factors to 2, 3-based, high-risk and very high risk of high rates of complications; high blood pressure; type and frequency of antihypertensive drugs; medication compliance is poor. Conclusion: Elderly hypertension has its own clinical features, which can be given on the basis of non-drug treatment: antihypertensive drugs should be combined with small doses; individualized selection of drugs; emphasis on organ protection and antihypertensive effect; Pay attention to adjust the dosage.