从最新临床研究证据看老年高血压患者的血压控制目标

Blood Pressure Control Goals in Elderly Patients with Hypertension:Evidence from Latest Clinical Studies

由于相关研究证据较少,长期以来老年高血压患者的血压控制目标一直存在争议。很多学者认为,老年高血压患者对于降压治疗的耐受性较差,因而其血压控制目标应该更宽松。但近年来发表的最新研究证据表明,将老年高血压患者收缩压控制在<130 mm Hg(1 mm Hg=0.133 kPa)可以更多获益。预期这些新研究结论将会对未来国内外指南的修订产生重要影响。

Due to the lack of relevant research evidence,the optimal blood pressure target in elderly hypertensive patients has been controversial for a long time.Many scholars believe that the elderly have poor tolerance to antihypertensive treatment,so their blood pressure control goal should bemore relaxed.However,the latest research evidence published in recent years shows that there may be more benefits from controlling systolic blood pressure in older adults to<130 mmHg.It is expected that these new research conclusions will have an important impact on the revision of guidelines in the future.