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目的观察60岁以上老年高血压患者的临床特点,分析老年高血压患者诊断要点,探讨老年高血压病的药物治疗及健康指导方法。方法回顾分析2009年门诊治疗的673例原发性高血压(年龄>60岁)的临床资料。结果 362例占60.3%患者经规律治疗后血压控制稳定,近期(2年内)未出现严重并发症或并发症得到有效控制。结论老年人高血压患者通过加强健康教育,定期随访,及时反馈血压变化,积极查找影响血压波动的外在因素,及时调整药物治疗方案,做到因人而宜的人性化管理,同时积极控制各种心、脑血管疾病危险因素,可有效控制老年高血压患者严重并发症的发生,明显降低致残率及致死率。
Objective To observe the clinical features of elderly hypertensive patients over the age of 60, analyze the main points of diagnosis of elderly patients with hypertension, and discuss the drug therapy and health guidance methods for elderly patients with essential hypertension. Methods The clinical data of 673 primary hypertension patients (aged> 60 years) who were treated in outpatients in 2009 were retrospectively analyzed. Results 362 patients (60.3%) had stable blood pressure control after the regular treatment. No serious complications or complications were found in the recent (2 years). Conclusion Hypertension patients in the elderly can enhance their health education, follow-up regularly and timely feedback the changes of blood pressure, find the external factors influencing the fluctuation of blood pressure actively, adjust the medication regimen in time, Seed heart, cerebrovascular disease risk factors, can effectively control the incidence of serious complications in elderly patients with hypertension, significantly reduce the morbidity and mortality.