中国实用内科杂志2017,Vol.37Issue(4):290-292,3.DOI:10.19538/j.nk2017040106
老年患者的血压管理
Blood pressure management for aging patients
林展翼1
作者信息
- 1. 广东省人民医院广东省医学科学院,广东广州510080
- 折叠
摘要
Abstract
Elderly patients with hypertension have increased quickly,which has clinical features of high systolic blood pressure,large blood pressure fluctuations,abnormal circadian rhythm,white-coat hypertension and pseudohypertension,etc.Elderly patients with blood pressure more than 150/90 mmHg will receive anti-hypertensive therapy.Target blood pressure under 140/90 mmHg is suitable when patients can tolerate.But it should not be lower than 130/60 mmHg for very older patients.The anti-hypertensive treatment involves non-drug therapy and drug therapy,and the five guideline-recommended drug classes are commonly used.Isolated systolic hypertension,morning hypertension and sickly coexistence are common types in elderly patients with hypertension.Meanwhile refractory hypertension is not rare.We need to pay attention to the merger with orthostatic blood pressure variability,postprandial hypotension and other special problems of elderly hypertension.关键词
老年/血压/管理Key words
elderly/blood pressure/management分类
医药卫生引用本文复制引用
林展翼..老年患者的血压管理[J].中国实用内科杂志,2017,37(4):290-292,3.