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目的探讨降压药物在社区老年高血压病病人中的应用情况。方法选择社区门诊治疗的原发性老年高血压患者900例,观察降压药物的使用情况。结果降压药物使用情况由高到低依次是: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;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。结论社区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 investigate the application of antihypertensive drugs in elderly hypertensive patients in community. Methods A total of 900 primary hypertension patients treated in outpatient community were selected to observe the use of antihypertensive drugs. Results The antihypertensive drugs used in descending order were: calcium blockers, angiotensin converting enzyme inhibitors, β-receptor antagonists, angiotensin II receptor blockers (ARBs), diuretics, Direct relaxation of vascular smooth muscle drugs; ankle edema, hypokalemia, dry cough, bradycardia, orthostatic hypotension as its main side effects. Conclusion The use of antihypertensive drugs in elderly patients with hypertension in the community basically met the specifications, and some patients had adverse drug reactions.