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原发性高血压是老年高血压的主要原因,但继发性尤其是动脉粥样硬化肾血管性高血压随增龄而增多。高血压除了是心血管意外的前兆外,老年高血压与并存的糖尿病可共同导致终末期肾脏疾病,抗高血压药治疗能预防致命性脑血管并发症和心血管并发症,利尿剂仍然是治疗高血压的较好药物。所有高血压患者的治疗均应从改变生活方式开始,单用或与药物并用治疗取决于血压水平和危险因素。
Essential hypertension is the main cause of hypertension in elderly, but secondary, especially atherosclerotic renal vascular hypertension increased with age. Hypertension In addition to being a precursor to cardiovascular accidents, senile hypertension and co-existing diabetes can together lead to end-stage renal disease, antihypertensive treatment can prevent fatal cerebrovascular complications and cardiovascular complications and diuretics remain the treatment Better medicine for high blood pressure. All hypertensive patients should be treated with lifestyle changes, and treatment alone or in combination with medication depends on blood pressure levels and risk factors.