Robertson J I
Department of Medicine Prince of Wales Hospital Chinese University of Hong Kong Shatin, N.T.
Clin Exp Hypertens A. 1989;11(5-6):779-805. doi: 10.3109/10641968909035374.
Controlled trials have demonstrated the protective effect of antihypertensive drug therapy in subjects over 60 years of age. Elderly patients are often peculiarly sensitive to the side-effects of some antihypertensive drugs, which must therefore be deployed with especial care in this age-group. The widely-supposed differential benefits and acceptability of various drug classes in the elderly have been shown to have been inferred often from inadequate evidence. These aspects require further study. The already large elderly hypertensive population will continue to expand, thus raising important, problematic, but rewarding, therapeutic and economic issues.
对照试验已证明抗高血压药物治疗对60岁以上人群具有保护作用。老年患者通常对某些抗高血压药物的副作用特别敏感,因此在这个年龄组中使用这些药物时必须格外小心。人们普遍认为不同类别的药物在老年人中具有不同的益处和可接受性,但事实证明,这些往往是从不足的证据中推断出来的。这些方面需要进一步研究。已经庞大的老年高血压人群将继续扩大,从而引发重要、棘手但值得研究的治疗和经济问题。