老年高血压的血压控制目标与诊疗研究进展

Blood pressure control target,diagnosis and treatment of elderly hypertension

随着社会老龄化的趋势日渐明显,老年高血压的问题也逐渐成为重要的公共卫生课题。老年高血压是诱发老年患者心脑血管疾病最重要的危险因素之一,对健康危害大,且其临床表现、诊断和治疗等均具有特殊性,也给临床防治带来一定挑战。目前老年高血压患者的控制率和达标率均较低,如何对老年高血压患者进行管理,使降压策略达到最优是一个重要的课题。因此必须提高临床医生和患者对老年高血压的关注,以血压达标为目标,有效控制血压,才能使老年高血压患者的获益最大化。本文结合近年发布的老年高血压指南、专家共识和建议等对老年高血压的诊断标准、临床特点、血压控制目标以及治疗等进行综述。

With the increasing of social ageing, the hypertension in elderly has become an important issue in public health. The hypertension is one of the most important risk factors of cardiovascular and cerebrovascular diseases, which is harmful to elderly health. However, the clinical manifestation of the hypertension in elderly, and its diagnosis and treatment are special challenge to clinicians. At present, the control rate and compliance rate of hypertension in elderly patients are relatively low. How to manage the elderly patients with hypertension and find the optimal strategy are important issues. So the clinicians and patients must pay attention to elderly hypertension to control blood pressure effectively, to achieve the goal of blood pressure and control blood pressure effectively in order to maximize the benefits of elderly hypertensive patients. This article reviews the diagnostic standard of elderly hypertension, its clinical feature, blood pressure control target and treatment based on the guidelines of hypertension in elderly patients and the expert consensus and the recommendations published in recent years.