老年高血压治疗的研究进展

Research updates on hypertension management for the elderly population

高血压是老年人群常见的慢性疾病之一,也是引起心脑血管疾病(特别是脑卒中)的重要危险因素,会对心、脑、肾及动脉血管等靶器官造成一定的损害,是老年人群致死和致残的主要原因之一。由于老年人群的特殊性,导致老年高血压的知晓率、治疗率和控制率均较低,如今,老年高血压日益成为突出的公共卫生问题。由此可见,对老年高血压进行积极防治意义重大。本文对老年高血压治疗的研究进展进行了综述,重点介绍了国内外高血压的相关治疗指南。从中发现,在启动降压治疗前,应对患者进行综合评估,再确定个体化治疗方案,同时应考虑患者治疗的依从性,简化药物治疗流程,尽量做到世界卫生组织提倡的“越简单越好”。

Hypertension,a common chronic condition in the elderly population,is an important risk factor for cardio-cerebrovascular diseases,particularly stroke.Due to its harmful effects on target organs such as the heart,brain,kidney,and arteries,hypertension is one of the leading causes of death and disabilities among the elderly population.Because of the unique features of the elderly population,the awareness rate,treatment rate,and control rate are relatively low in this population.Senile hypertension has now become an increasingly striking threat to public health.Thus,it is of great significance to actively prevent and treat senile hypertension.This article reviews the research updates on hypertension management for the elderly population,and outlines relevant guidelines both at home and abroad.It is suggested that comprehensive evaluation be performed to allow for individualized regimen before the initiation of anti-hypertensive treatment;meanwhile,as the WHO advocates “the simpler,the better”,medication regimen should be simplified to improve patient compliance.