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目的分析老年高血压病患者使用降压药物的情况。方法选择2008年1月～2010年1月我院门诊治疗的原发性老年高血压患者900例,分析其降压药物的应用情况。结果①老年高血压患者收缩压控制理想(<140mmHg)的占51%,舒张压控制率优于收缩压控制率;②降压药物使用由高到低依次是:钙离子阻滞剂、血管紧张素转化酶抑制剂、β-受体拮抗剂、血管紧张素II受体阻滞剂(ARB)、利尿剂、直接舒张血管平滑肌药;③踝部水肿、低血钾、干咳、心动过缓、体位性低血压等为其主要副作用。结论老年高血压病降压药物使用基本符合规范,部分患者存在药物不良反应。
Objective To analyze the use of antihypertensive drugs in elderly hypertensive patients. Methods From January 2008 to January 2010 in our hospital outpatient treatment of 900 cases of elderly patients with essential hypertension, analysis of its application of antihypertensive drugs. Results ① The systolic blood pressure control ideal (<140mmHg) accounted for 51% of elderly hypertensive patients, diastolic blood pressure control rate is superior to the systolic blood pressure control rate; ② antihypertensive drugs used in descending order are: calcium blockers, vascular tension Β-adrenoceptor antagonist, ARB, diuretic, and direct vasodilator smooth muscle; ③ ankle edema, hypokalemia, dry cough, bradycardia, Postural hypotension as its main side effects. Conclusion The use of antihypertensive drugs in elderly patients with hypertension basically meets the standard, and some patients have adverse drug reactions.