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目的：探讨老年原发性高血压的临床诊断及其治疗措施规范。方法按照自愿的原则选取2014年3月至2015年3月在汾阳市人民医院接受治疗的老年原发性高血压患者200例，并对其相应的临床诊断和采取的治疗措施进行系统回顾分析。结果接受研究的200例患者中显效158例，好转32例，无效10例，总治疗有效率达95%。同时，与接受治疗前相比，两组患者的血压水平和24 h 动脉血气监测显著好转，相对平稳，二者比较差异有统计学意义（P <0.05）。结论早期诊断原发性高血压并给予甲硫酸氨氯地平片，将患者血压和心率控制在正常水平是治疗老年原发性高血压的关键。“,”Objective To investigate the clinical diagnosis and treatment specifications for elder-ly patients with primary hypertension. Methods According to the principle of voluntary selection,200 elderly patients with primary hypertension in Fenyang people’s hospital from March 2014 to March 2015 were selected, and the clinical diagnosis and treatment measures were respectively analyzed. Results Among the 200 patients,158 cases were cured,32 cases were improved,10 cases were inef-fective,the total effective rate was 95% . Meanwhile,compared with the previous treatment,blood pres-sure levels and 24 - hour arterial blood gas of the two groups were significantly improved,the differences were significant(P < 0. 05). Conclusions Early diagnosis of primary hypertension,and treated with methyl sulfate amlodipine tablets,the blood pressure and heart rate controlled in normal levels is the key to treatment of elderly patients with essential hypertension.