老年单纯收缩期高血压诊治体会

目的探讨老年收缩期高血压的诊断与治疗,减少心脑血管事件的危险因素。方法对74例在门诊治疗老年单纯收缩期高血压进行血压监测,强调非药物治疗和药物治疗的合理应用。结果单剂用药血压控制率(7例)9%,联合用药血压控制率(25例)34%,改变不良生活方式同时服用降压药血压控制率为32例43%。结论良好的生活习惯和联合用药能保护靶器官控制高血压,有效的减少老年单纯收缩期高血压的致残率和死亡率。

Study of the diagnoses and treatment for the senile systolic hypertension

Objective To study the diagnoses and treatment of the senile systolic hypertension and to reduce the dangerous factors of cardio-cerebrovascular events.Methods The blood pressure of seventy-four senile outpatients with simple systolic hypertension was monitored and the rational usage of drug and non-drug therapies was emphasized.Results The control rate of hypertension was 9% in the therapy of single antihypertensive drugs,34% in the therapy of combination of antihypertensive drugs and 43% in combination of antihypertensive drugs with correction of badness life style.Conclusion Combination of antihypertensive drug therapy with good habits and customs reduce the disability rate and mortality in senile patients with simple systolic hypertension via an effective control of hypertension and providing a protection on target organs.