Huss R, Steiner A, Grüne S, Vetter W
Departement Innere Medizin, Medizinische Poliklinik, Universitätsspital Zürich.
Schweiz Rundsch Med Prax. 1991 Jun 18;80(25):696-700.
Therapeutic agents for the treatment of hypertension in the elderly are the well known basic antihypertensive drugs (Diuretics, beta-blocking agents, calcium antagonists and ACE-inhibitors). Choice is determined by concomittant diseases increasing with age. In the elderly patient the assessment of benefit and risk is particularly essential. Drugs should therefore not be installed without exact information of the patient and be started at the smallest possible dose. If tolerance is good the dose may be raised of prescription of an additional drug be evaluated cautiously.
用于治疗老年人高血压的治疗药物是众所周知的基本抗高血压药物(利尿剂、β受体阻滞剂、钙拮抗剂和血管紧张素转换酶抑制剂)。选择取决于随年龄增长而增加的伴随疾病。在老年患者中,评估获益和风险尤为重要。因此,在没有确切了解患者情况的情况下不应开始用药,并且应以尽可能小的剂量开始。如果耐受性良好,可以谨慎评估增加剂量或加用另一种药物。