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目的:探讨降压药在老年高血压病患者中的临床药学特点。方法:收治老年高血压患者200例,所有患者开始均单一使用降压药物,对使用无效的患者进行联合用药。结果:200例患者应用降压药物治疗,显效129例(64.5%),有效30例(15.0%),无效41例,总有效率79.5%。其中使用卡托普利治疗30例,总有效率76.7%;使用硝苯地平治疗36例,总有效率75.0%;使用氨氯地平治疗48例,总有效率75.0%;使用替米沙坦治疗86例,总有效率84.9%。经过治疗收缩压和舒张压均明显降低。对41例使用单一降压药物无效的患者进行联合用药,血压均得到有效控制。结论:联合用药是治疗老年高血压的重要途径。
Objective: To investigate the clinical pharmacological characteristics of antihypertensive drugs in elderly patients with hypertension. Methods: 200 cases of elderly hypertensive patients were admitted, all patients began using a single antihypertensive drugs, the use of invalid patients in combination. Results: Two hundred patients were treated with antihypertensive drugs, 129 cases (64.5%) were effective, 30 (15.0%) effective, 41 ineffective, and the total effective rate was 79.5%. Among them, 30 cases were treated with captopril, the total effective rate was 76.7%; 36 cases were treated with nifedipine, the total effective rate was 75.0%; 48 cases were treated with amlodipine, the total effective rate was 75.0%; treatment with telmisartan 86 cases, the total efficiency of 84.9%. After treatment systolic and diastolic blood pressure were significantly lower. 41 patients with a single antihypertensive drugs in patients with combination therapy, blood pressure are effectively controlled. Conclusion: Combination therapy is an important way to treat elderly hypertension.