Department of Health Sciences, University of Leicester School of Medicine, Centre for Medicine University of Leicester Lancaster Road, Leicester, United Kingdom of Great Britain and Northern Ireland.
Section of Social Medicine, Kobenhavns Universitet Det Samfundsvidenskabelige Fakultet, Kobenhavn, Denmark.
Age Ageing. 2018 Jul 1;47(4):505-508. doi: 10.1093/ageing/afy053.
Hypertension is a common condition in older people, but is often one of many conditions, particularly in frail older people, and so is rarely managed in isolation in the real world-which belies the bulk of the evidence upon which is treatment decisions are often based. In this article, we discuss the issues of ageing, including frailty and dementia, and their impact upon blood pressure management. We examine the evidence base for managing hypertension in older people, and explore some therapeutic ideas that might influence treatment decisions and strategies, including shared decision making.
高血压是老年人的常见病症，但它往往是多种病症之一，尤其是在体弱的老年人中，因此在现实世界中很少孤立地进行治疗——这与治疗决策经常依据的大量证据相矛盾。在本文中，我们讨论了衰老问题，包括虚弱和痴呆，以及它们对血压管理的影响。我们研究了治疗老年人高血压的证据基础，并探讨了一些可能影响治疗决策和策略的治疗思路，包括共同决策。
