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中国80岁以上的高龄老人高血压的患病率高,但控制率较低。高血压仍是高龄患者心血管事件和全因死亡的危险因素,对高龄患者的血压控制需要临床医师积极并合理地应对。高龄老人血压控制的靶目标应控制在150/90 mmHg以内。治疗应遵循平稳、有效、安全、简便的原则。临床上应特别注意用药繁多、肾功能损害和各种合并症对高龄老人降压治疗的影响和药物间相互作用。良好的沟通和简单的用药方法是提高老年人降压治疗依从性的有效方法。

Hypertensive therapy in the elderly

??Hypertension is becoming more prevalent in the elderly aged 80 or more yet has been poorly controlled in China.Hypertension remains a risk factor for cardiovascular events and all??cause mortality in the elderly and deserves active and rational treatment initiated by physicians.The target blood pressure is expected to be within 150/90 mmHg in the elderly patients.That anti??hypertensive treatment should adhere to the principles of stabilized??effective??safe and convenient.Physicians should stay alert to the effects of anti??hypertensive therapy and medication interactions on the complications in the elderly patients receiving multiple medications or having renal impairment.Preferable communication and convenient ways for administration of medication may be effective to improve compliance to anti??hypertensive therapy in the elderly patients.