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降压药对老年高血压病治疗的意义老年人在心、脑、肾等器官有动脉硬化性血管并发症的很多,如果再发生高血压病,这些器官的损害会进一步加重。高血压病治疗的目的是不论年龄大小,由于适当降压,而防止心、脑、肾等器官障碍的发生或抑制其进展。但降压药物疗法对于老年高血压病患者,不仅难于改善已有的器官损害,而且由于降压,脏器血流减少反而可能使器官损害加重。因此是否适于降压治疗尚未取得一致意见。另方面,最近有人认为对老年高血压病患者降压取得了肯定的疗效。美国(VA 研究,1972年)报告,舒张压为90~114
Therapeutic Significance of Antihypertensive Drugs on Elderly Hypertension The elderly have many arteriosclerotic vascular complications in the heart, brain, kidney and other organs. If hypertension occurs again, the damage of these organs will be further aggravated. The purpose of treatment of hypertension is regardless of age, due to appropriate antihypertensive and prevent the heart, brain, kidney and other organ disorders occur or inhibit its progress. However, antihypertensive drug therapy for elderly patients with hypertension, not only difficult to improve the existing organ damage, and because of blood pressure, organ blood flow decreased but may make the organ damage worse. So it is not suitable for antihypertensive treatment has not been agreed. On the other hand, some people think that the antihypertensive effect on elderly hypertensive patients has been affirmed recently. The United States (VA study, 1972) reported a diastolic blood pressure of 90-114