降压药物在老年高血压病病人中的应用分析

Antihypertensive drugs in elderly patients with hypertension Application Analysis

目的：观察降压药物在老年高血压病病人中的应用情况。方法：回顾性分析450例原发性老年高血压病人的用药情况。结果：①51％的老年高血压病人收缩压控制理想（〈140mmHg），舒张压控制率大于多于收缩压控制率；②降压药物的使用情况依次是：依那普利分散片35．2％（158／450）、硝苯地平缓释片21．4％（96／450）、引达帕胺缓释片23．1％（104／450）、美托洛尔片10．2％（46／450）。其次是缬沙坦分散片、缬沙坦胶囊、厄贝沙坦胶囊、厄贝沙坦氢氯噻嗪片、呋塞米片、氢氯噻嗪片；③不良反应分别为踝部水肿、低血钾、干咳、心动过缓、体位性低血压等。结论：老年高血压病控制不理想，部分病人存在药物不良反应。

Objective; To investigate the antihypertensive drugs in elderly patients with hypertension in the application. Methods： A retrospective a- nalysis of 450 cases with primary drug use in elderly hypertensive patients. Results： （1） 51%of the control of the ideal systolic blood pressure in elderly hy- pertensive patients （〈140mmHg）, diastolic blood pressure control rate of more than systolic blood pressure control rate is greater than; （2） the use of anti- hypertensive drugs were： Adalat35.2% （158 /450）, Norvasc21.4% （96/450）, Monnow23.1% （104/450）, Rockwell set new 10.2% （46/450）. Fol- lowed by metoprolol, life than the mountains, Cozaar, sea eyelashes Asia, felodipine, buck 0;（3） adverse events were ankle edema, hypokalemia, dry cough, bradycardia, low body position blood pressure. Conclusion： elderly patients with hypertension control is not satisfactory, some patients in the ad- verse drug reactions.