80岁以上老年高血压病的临床分析  

Clinical Analysis of Senile Hypertension Patients over 80 Years Old

作　　者：王伟 李亚雄[2] 

机构地区：[1]湖南省临湘市人民医院急诊科,414300 [2]北京大学深圳医院特诊病房,广东省深圳市518036

出　　处：《中华全科医学》2009年第6期584-585,共2页Chinese Journal of General Practice

摘　　要：目的探讨80岁以上老年高血压的降压治疗方法及安全性。方法回顾分析80岁以上老年高血压血压控制的临床资料。结果选用1种降压药占32%,2种以上占68%;选用CCB占52%,β受体阻滞剂占55.2%,利尿剂占19.2%,ACEI占24%,ARB占46.4%。血压由(175.64±19.31)/(99.13±13.11)mmHg,降至(125.15±14.55)/(73.70±8.83)mmHg,治疗前后比较差异有统计学(P<0.001),未见体位性低血压。结论老年人降压应个体化,平均血压降至125/74mmHg也安全。Objective To investigate the therapeutic method and its safety of blood pressure control in senile Essential Hypertension（EH） patients over 80 years old. Methods The clinical data of senile EH patients over 80 years old（male 55 cases,female 70 cases） were analyzed retrospectively. Results 32% of patients taken one drug,68% taken more than two drugs. CCB accounted for 52%, [3-blockers 55. 2%, diuretics 19. 2%, ACEI 24%, and ARB 46. 4%. Blood pressure decreased from （ 175.64± 19.31 ）/（ 99.13 ±13.11 ） mm Hg to （ 125.15 ± 14.55 ）/（ 73.70 ±8.83 ） mm Hg, the difference was significant （ P 〈 0.001 ）. No postural hypotension was found. Conclusion Blood pressure control of elderly patients should be individualized. It is safe for them with an average blood pressure 125/74 mm Hg.

关 键 词：老年 高血压 治疗 

分 类 号：R544.1[医药卫生—心血管疾病]