老年高血压降压不易达标及降压质量低的原因分析及对策

老年高血压降压不易达标或降压质量低，原因在于老年高血压的特殊性，如多发收缩期高血压、血压波动大、易发生体位性低血压、合并多脏器功能损害等。在老年高血压的治疗中，应充分认识其特殊性，开展健康教育、改善生活方式，正确选择降压药，在降压达标治疗的基础上，提高降压质量，最大限度降低患者靶器官损害，减少心血管终点事件的发生。

Causes Analysis and Solutions of Low Control Rate and Treatment Quality in Elderly Hypertensive Patients

The effect of antihypertension in elderly hypertensive patients is poor, the cause of which rests with the particularities of this disease,such as isolate systolic hypertension is more general,the undulation of blood pressure is more obvi ously and easy to result in orthostatic hypertension,and always complains with other organs incompetence. These particu larities should be realized adequately in the treatment of elder patients with hypertension. The doctor should select the suit able medicament and educate the patients to live in a healthy life style. Based on antihypertension,the quality of the treat ment should be improved, then target organs should be protected at most, and cardiovascular terminal events can be re duced.