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近年来,由于社会的进步,老年人的比例逐渐增多,而老年人的心血管的最大问题是高血压,占整个高血压病人的60-70％,临床治疗较为困难,笔者对2000年-2004年本院的85例老年性高血压患者的临床资料作了回顾性分析,以提高对本病的认识和诊治水平。 1 临床资料 1．1 临床诊断标准:本院收治的85例患者均符合 WHO／ISH诊断标准。 1．2 一般资料:男80例,女5例,年龄62-90岁, 平均74．2±7．5岁,其中1级15例,2级20例,3级 50例,曾有长期吸烟史28例,单纯收缩期高血压40 例,高脂血症36例,合并靶器官损害52例。 1．3 靶器官损害情况:高血压心脏病46例,脑血管病17例,肾损害11例,糖尿病7例。 1．4 所使用的降压药物:吲哒帕胺、双氢克尿噻、螺内酯、卡托普利、依那普利、普奈洛尔、阿替洛尔、尼
In recent years, due to social progress, the proportion of the elderly gradually increased, while the elderly cardiovascular disease is the largest problem of hypertension, accounting for 60-70% of the entire hypertensive patients, clinical treatment is more difficult, the author of 2000 -2004 The hospital in 85 cases of elderly hypertensive patients were retrospectively analyzed the clinical data to improve the understanding of the disease and diagnosis and treatment level. 1 clinical data 1.1 clinical diagnostic criteria: 85 patients admitted to our hospital are in line with WHO / ISH diagnostic criteria. 1.2 General information: 80 males and 5 females, aged 62-90 years old, with an average of 74.2 ± 7.5 years, of which 15 cases of grade 1, 20 cases of grade 2, 50 cases of grade 3, had long-term smoking History of 28 cases, 40 cases of isolated systolic hypertension, hyperlipidemia in 36 cases, combined with target organ damage in 52 cases. 1.3 Target organ damage: Hypertensive heart disease in 46 cases, 17 cases of cerebrovascular disease, renal damage in 11 cases, 7 cases of diabetes. 1.4 The antihypertensive drugs used: indapamide, hydrochlorothiazide, spironolactone, captopril, enalapril, propranolol, atenolol,