从最新临床研究证据看老年高血压患者的血压控制目标  

Blood Pressure Control Goals in Elderly Patients with Hypertension:Evidence from Latest Clinical Studies

作　　者：刘凯旋 郭艺芳[1] LIU Kaixuan;GUO Yifang(Department of Geriatric Cardiology,Hebei General Hospital,Shijiazhuang 050051,China;Graduate School of Hebei Medical University,Shijiazhuang 050000,China)

机构地区：[1]河北省人民医院老年心血管内科,河北省石家庄市050051 [2]河北医科大学研究生院,河北省石家庄市050000

出　　处：《中国全科医学》2022年第11期1305-1308,共4页Chinese General Practice

基　　金：河北省重点研发计划(19277787D);河北省创新能力提升计划(199776249D)。

摘　　要：由于相关研究证据较少,长期以来老年高血压患者的血压控制目标一直存在争议。很多学者认为,老年高血压患者对于降压治疗的耐受性较差,因而其血压控制目标应该更宽松。但近年来发表的最新研究证据表明,将老年高血压患者收缩压控制在<130 mm Hg(1 mm Hg=0.133 kPa)可以更多获益。预期这些新研究结论将会对未来国内外指南的修订产生重要影响。Due to the lack of relevant research evidence,the optimal blood pressure target in elderly hypertensive patients has been controversial for a long time.Many scholars believe that the elderly have poor tolerance to antihypertensive treatment,so their blood pressure control goal should bemore relaxed.However,the latest research evidence published in recent years shows that there may be more benefits from controlling systolic blood pressure in older adults to<130 mmHg.It is expected that these new research conclusions will have an important impact on the revision of guidelines in the future.

关 键 词：高血压 指南 降压治疗 老年人 

分 类 号：R544.1[医药卫生—心血管疾病]