老年高血压患者脉压差大如何选择用药 谢文丽 北京电力医院 скачать в хорошем качестве

老年高血压患者脉压差大如何选择用药 谢文丽 北京电力医院

老年高血压患者脉压差大如何选择用药 谢文丽 北京电力医院 老年人高血压主要以收缩压高为主，所以在临床上表现就是以高压高，低压不高，所以脉压比较大，这个时候选择降压药主要就是降收缩压：1、钙拮抗剂，尤其像氨氯地平、硝苯地平、贝尼地平、非洛地平降收缩压为主的，选择这一类的药为主；2、降压效果不太理想的时候，还可以联合其他的ACEI、ARB，联合用药，可以副作用又小，降压效果又会很好，这是老年人联合用药的原则，以降高压为主；3、动脉硬化，还有心脏的瓣膜也在硬化，随着年龄增加他的低压就不容易高上去，甚至有的人低压还会很低，这个时候主要关注高压为主。 How to choose drugs for the elderly patients with high pulse pressure difference High systolic blood pressure is the main cause of hypertension in the elderly, So the clinical manifestation is high pressure, Low pressure is not high, So the pulse pressure is high, At this time, the choice of antihypertensive drugs is mainly to reduce systolic blood pressure: 1. Calcium antagonists, Especially like amlodipine, nifedipine, benidipine and felodipine, Choose this kind of medicine mainly; 2. When the antihypertensive effect is not ideal, Other ACEI and ARB can also be combined, Combination, The side effects are small, The effect of reducing blood pressure will be very good, This is the principle of the combination of drugs for the elderly, It mainly reduces high pressure; 3. Arteriosclerosis, And the heart valves are hardening, As he grows older, his depression is not easy to rise, Even some people have low pressure, At this time, the main concern is high pressure.