Only 30% of the old hypertension patients receive treatment
It is reported ' Reporter Wang Dan) Only 32.2% of the old hypertension patients accept and step down the treatment in our country, the controlling rate of blood pressure is only 7.6%. At international hypertension and relevant disease academic meeting on the 12th held in Beijing recently, the first hospital old internal medicine department plum professor Lin Liu in Peking University points out, because the elderly bad worrying, stepping down medicine cause the intersection of body posture and the intersection of and hypotension, the intersection of brain and blood flow pour into insufficient bringing out the intersection of heart and the intersection of brain and the intersection of blood vessel and incident in tolerance in medicine, there are not more positive when stepping down old hypertension patients. So how choose, step down medicine, reach blood pressure actively and reliably control goal question that clinician should pay attention to rationally according to characteristic of the elderly. It is introduced, at present, the old hypertension patient over our country 60 has been already up to 80 million, occupy first place in the world. Compared with hypertension patient under the age of 60, the danger of soldier's medium-sized heart brain blood vessel incident of brain happen and rise notably to the elderly. Liu MeiLin points out, the stepping down initially of old hypertension should begin with low dose to treat, many medicines are united, monitor blood pressure dynamically, observe bad reaction,etc. closely; Can choose calcium to resist pharmaceutical, diuretic to step down and treat short of moneyly preferably. Greater than the hypertension patient of 80 -year-old advanced age as to age, follow " carefulness, security, individual " Therapeutic for principle,last blood pressure within even several months of several weeks gradually up to standard. MeiLin Liu emphasize body posture hypotension to cause the intersection of the elderly and faint, fall, fracture and reason that death increase still. So, should measure setting up blood pressure in the location of the elderly and assess and step down the effect of body posture of treating, as to incident the intersection of body posture and patient, of hypotension, should according to to set up the intersection of location and blood pressure and have the intersection of brain and low to pour into symptom, adjust blood pressure progressively blood vessel patient. As to hypertension patient of advanced age, control blood pressure within 150/80 millimetres mercury column, can achieve the goal of a incidence of running affairs of energies of reducing the apoplexy of brain, in heart failure etc.. This meeting is prevented and cured the research center to jointly sponsor by China's hypertension alliance, cardiovascular disease of Ministry of Public Health.
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