中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
11期
10-11
,共2页
降压药%老年%高血压%临床药学%探析
降壓藥%老年%高血壓%臨床藥學%探析
강압약%노년%고혈압%림상약학%탐석
Antihypertensive drugs%Elderly%Hypertension%Clinical pharmacy%Analysis
目的：探讨老年高血压病患者采用降压药治疗的临床药学特点。方法：收治老年高血压患者100例，作为研究对象，分析降压药物应用特点。结果：临床高血压药物常用种类包括交感神经抑制剂、利尿剂、血管紧张素转换酶抑制剂、钙拮抗药、血管扩张药等。其中以缬沙坦使用率32%最高；呋噻米其次，使用率19%；硝苯地平使用率10%；卡托普利使用率5%；硝普钠使用率3%；利美尼定使用率2%等。就恢复率比较，卡托普利相对较低。不良反应相对均较高，未超过20%。结论：针对老年高血压患者选用降压药物治疗时，需对机体耐药性、高血压病情程度充分考虑，针对性用药，注意并发症防范，以提高治疗后的康复率，保障药物效果，避免不良事件发生，提高老年患者的生存质量。
目的：探討老年高血壓病患者採用降壓藥治療的臨床藥學特點。方法：收治老年高血壓患者100例，作為研究對象，分析降壓藥物應用特點。結果：臨床高血壓藥物常用種類包括交感神經抑製劑、利尿劑、血管緊張素轉換酶抑製劑、鈣拮抗藥、血管擴張藥等。其中以纈沙坦使用率32%最高；呋噻米其次，使用率19%；硝苯地平使用率10%；卡託普利使用率5%；硝普鈉使用率3%；利美尼定使用率2%等。就恢複率比較，卡託普利相對較低。不良反應相對均較高，未超過20%。結論：針對老年高血壓患者選用降壓藥物治療時，需對機體耐藥性、高血壓病情程度充分攷慮，針對性用藥，註意併髮癥防範，以提高治療後的康複率，保障藥物效果，避免不良事件髮生，提高老年患者的生存質量。
목적：탐토노년고혈압병환자채용강압약치료적림상약학특점。방법：수치노년고혈압환자100례，작위연구대상，분석강압약물응용특점。결과：림상고혈압약물상용충류포괄교감신경억제제、이뇨제、혈관긴장소전환매억제제、개길항약、혈관확장약등。기중이힐사탄사용솔32%최고；부새미기차，사용솔19%；초분지평사용솔10%；잡탁보리사용솔5%；초보납사용솔3%；리미니정사용솔2%등。취회복솔비교，잡탁보리상대교저。불량반응상대균교고，미초과20%。결론：침대노년고혈압환자선용강압약물치료시，수대궤체내약성、고혈압병정정도충분고필，침대성용약，주의병발증방범，이제고치료후적강복솔，보장약물효과，피면불량사건발생，제고노년환자적생존질량。
Objective:To explore the clinical pharmacy characteristics of antihypertensive drugs in the treatment of elderly patients with hypertension.Methods:100 elderly patients with hypertension were selected.Application characteristics of antihypertensive drugs were analyzed.Results:In clinical hypertension drugs,some species were commonly used,including sympathetic inhibitors,diuretics,angiotensin converting enzyme inhibitors,calcium antagonists,vasodilators and so on.Among them, the use rate of valsartan was the highest(32%);the second was furosemide with the use rate of 19%;the use rate of nifedipine was 10%;the use rate of captopril was 5%;the use rate of sodium nitroprusside was 3%;the use rate of rilmenidine was 2%.For the comparison of recovery rate,captopril was relatively low.Adverse reactions were all relatively higher with less than 20% . Conclusion:When we choose antihypertensive drug therapy for elderly patients with hypertension,we should consider the drug resistance of the body and hypertension severity.We need to adopt the targeted drugs and pay attention to prevention of complications in order to improve the recovery rate,guarantee the drug effect,avoid adverse events and improve the quality of life of elderly patients.
