摘要
目的:探讨老年高血压患者降压药物应用情况。方法:对955例原发性高血压患者用药情况进行回顾性分析。结果:①平时血压收缩压控制理想者(<140mmHg)约占患者总数的一半,舒张压控制理想者多于收缩压控制理想者;②被调查者使用最多的降压药物是伲福达、心痛定和倍他乐克,分别占所有被调查患者的69.8%(667/955)、30.8%(294/955)和27.5%(263/955)。其次是寿比山、依那林、高特灵、洛汀新和卡托普利;③服药后不良反应钙离子拮抗剂以踝部水肿、利尿剂以低血钾多见,ACEI类药物主要表现为干咳,β—受体阻滞剂以心动过缓为主要不良反应,α—受体阻滞剂高特灵的不良反应主要为体位性低血压。结论:老年高血压病治疗中相当部分患者血压控制不理想,部分患者还存在不良反应。
Objective：To investigate the applicatiion of hypotensive drugs in the elder patients with hypertension. Methods：The using of hypotensive drugs and their adverse effects in 955 patients with primary hypertension were retrospectively analyzed. Results：①The systolic pressure was successfully controlled in half of these patients. The patients with normal diastolic pressure were more than those with normal systolic pressure.②The most commonly used hypotensive drugs were nifedipine（69.8 % ）, adalat（30.8 % ） and metoprolol（27.5 % ）, secondly ones were indapamide, enalapril, hytrin, lotensin and captopril. ③The common adverse effect of calcium antagonist was edema in lower ankle,that of diuretic was hypokalemic, that of ACEI was dry cough, that of β receptor antagonist was bradycardia and that of α receptor antagonist was postural hypotension. Conclusion： The blood pressure of considerable elder patients with hypertension is unsatisfactorily controlled. There are reverse effects in some patients.
出处
《内蒙古医学杂志》
2006年第1期12-14,共3页
Inner Mongolia Medical Journal
关键词
高血压
治疗
药物不良反应
Hypertension
Treatment
Medicamentous adverse effect
