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[目的]探讨老年高血压临床特征及治疗特点。[方法]老年高血压组2354例与非老年高血压组606例临床资料进行对比分析。[结果]老年高血压组收缩压增高,脉压增大,血压波动幅度加大,靶器官损害及并发症多,统计学处理有高度显著性差异。针对老年高血压特点,选择使用增加心脑肾重要脏器的血流量,并能预防或逆转心肾靶器官重塑的降压药,加用改善动脉弹性的药物,缩小脉压,更好的保护靶器官。[结论]高血压,特别是老年高血压注意监测治疗合并症,选择适宜药物,持续有效稳定降压,遵循个体化原则,保护靶器官,改善动脉弹性,减少心脑血管事件发生,是高血压特别是老年高血压的治疗目标。
[Objective] To investigate the clinical features and treatment characteristics of elderly hypertension. [Methods] The clinical data of 2354 elderly hypertensive patients and 606 non-elderly hypertensive patients were compared. [Results] The systolic blood pressure, pulse pressure, blood pressure fluctuation amplitude, target organ damage and complications in the elderly hypertension group were significantly higher than those in the statistical treatment group. For the characteristics of elderly hypertension, choose to use to increase the blood flow of vital organs of the heart and brain, and can prevent or reverse the antihypertensive drugs remodeling of target organs of heart and kidney, plus drugs to improve arterial elasticity, reduce pulse pressure, better Protect the target organ. [Conclusion] Hypertension, especially elderly hypertension, should pay attention to the monitoring and treatment of comorbidities, select the appropriate drug, continue to effectively and steadily reduce blood pressure, follow the principle of individualism, protect target organs, improve arterial elasticity and reduce cardiovascular and cerebrovascular events. Especially the treatment of hypertension in the elderly.