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老年高血压患者快速增多,他们临床上有收缩压高、波动大、昼夜节律异常、白大衣高血压与假性高血压多等特点。老年患者一般血压150/90 mmHg以上开始降压并须降到该血压值以下,如耐受可降至140/90 mmHg以下,但高龄患者一般情况下不宜低于130/60 mmHg。治疗方法包括非药物治疗与药物治疗,常用药物也是指南推荐的五大类。单纯收缩期高血压、清晨高血压及多病共存状态是老年高血压患者常见类型,而且难治性高血压多见,临床上需要注意合并有体位性血压变异、餐后低血压等老年高血压的特殊问题。
Elderly hypertensive patients increased rapidly, they clinically have systolic blood pressure, large fluctuations, circadian rhythm abnormalities, white coat hypertension and pseudo-hypertension and so on. Elderly patients with general blood pressure 150/90 mmHg or more began to depressurize and have to fall below the blood pressure, such as tolerance can be reduced to 140/90 mmHg below, but in older patients under normal circumstances should not be less than 130/60 mmHg. Treatment includes non-drug treatment and drug treatment, commonly used drugs are recommended five categories. Simple systolic hypertension, early morning hypertension and coexistence of multiple disease is a common type of elderly patients with hypertension, and more common refractory hypertension, the clinical need to pay attention to a combination of positional variability, postprandial hypotension and other elderly hypertension Special problem