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硝苯(目比)啶又称心痛定(下称NF)为钙离子拮抗剂,它可调节钙内流,从而降低细胞内游离钙,使血管平滑肌松弛,血压下降。作为一种降压药物,晚近已受到重视。我院自1984年以来,用NF治疗住院高血压患者154例,疗效满意。现将67例60岁以上老年人的治疗情况作一小结,并就NF治疗老年人高血压的有关问题进行讨论。对象及方法一、观察对象本组67例高血压(≥160/95)患者,年龄均在60岁以上,最大83岁。男性51例,女性16例。原发性高血压66例,其中Ⅰ期8例,Ⅱ33例(伴冠心10例,肺心2例;伴病窦综合症、糖尿病及风心病各1例),Ⅲ期26例,伴急性左心衰6例,脑栓塞及高血压脑病(不包括神经内科收住
Nifedipine, also known as nifedipine (referred to as NF) is a calcium antagonist, which can regulate calcium influx, thereby reducing the intracellular free calcium, so that smooth muscle relaxation, blood pressure decreased. As a kind of antihypertensive drug, it has been paid attention recently. Our hospital since 1984, NF treatment of 154 cases of hospitalized patients with hypertension, the effect is satisfactory. Now 67 cases of elderly over the age of 60 for a summary of the treatment, and the treatment of hypertension in the elderly NF related issues are discussed. Subjects and methods First, the observed object The group of 67 patients with hypertension (≥ 160/95), aged over 60 years old, maximum 83 years old. 51 males and 16 females. 66 cases of primary hypertension, including 8 cases of stage Ⅰ, Ⅱ 33 cases (with coronary heart disease in 10 cases, pulmonary heart disease in 2 cases; with sick sinus syndrome, diabetes and rheumatic heart disease in each case), stage Ⅲ 26 cases with acute Left heart failure in 6 cases, cerebral embolism and hypertensive encephalopathy (not including neurology admitted