摘要
我国老年人群中高血压患病率约53.2%,但血压控制率仅为18.2%。老年高血压具有鲜明的临床特点,且合并症多、血压管理难度较大。因此,中国老年医学学会高血压分会和国家老年疾病临床医学研究中心-中国老年心血管疾病防治联盟于2019年初制定颁布了我国首部老年高血压防治指南。本文就该指南中老年患者的诊断策略、老年高血压诊断性评估的重要内容、老年高血压降压治疗强度、药物治疗原则及血压管理等方面进行解读,旨在更好地对老年高血压患者进行诊疗及管理。
The prevalence of hypertension is about 53.2%,but the rate of blood pressure control is only 18.2%.Hypertension in the elderly has distinct clinical characteristics,many complications and difficult blood pressure management.Therefore,the hypertension branch of China Geriatric Society and the geriatric cardiovascular disease prevention and control alliance,the national geriatric clinical medicine research center china,formulated and promulgated the first geriatric hypertension prevention and control guideline in China in early 2019,and introduced the main clinical management of geriatric hypertension from the aspects of epidemiology,clinical characteristics,diagnostic evaluation,drug treatment and specific population decompression strategies contents and management suggestions are put forward.In order to better diagnose and manage the elderly patients with hypertension,this paper interprets the diagnosis strategy of the elderly patients,the important content of the elderly hypertension diagnostic evaluation,the elderly hypertension antihypertensive treatment intensity,the principle of drug treatment and blood pressure management.
作者
张新军
ZHANG Xinjun(National Clinical Research Center for Geriatrics,Department of Geriatric,West China Hospital,Sichuan University,Chengdu 610011,China)
出处
《西部医学》
2020年第3期324-327,共4页
Medical Journal of West China
关键词
高血压
老年
患病率
控制率
指南
解读
Hypertension
Old age
Prevalence
Control rate
Guidelines
Interpretation
