Saturday, September 15, 2012

Characteristic _ general knowledge of the elderly's hypertension

Characteristic _ general knowledge of the elderly's hypertension
A part is extended by adult hypertension in the elderly's hypertension, another part is because of atherosclerosis, the elasticity fails, systolic pressure rises. The elderly's hypertension has the following characteristics:
(1)The blood pressure fluctuation of the elderly's hypertension is greater, especially systolic pressure. This is mainly because the receptor sensitiveness of the pressure of old patient's blood vessel fail. So should measure blood pressure regularly during resisting the drug therapy of hypertension, adjust the using medicine amount at any time.
(2)The elderly's hypertension is apt to be influenced by change of body posture, the incidence of body posture hypotension is relatively high, especially more incident in resisting the drug therapy of hypertension, it has a relation that the this and receptor sensitiveness of pressure fail. So should careful with be able to cause the intersection of body posture and medicine such as guanethidine, the intersection of a1 and receptor, of hypotension block pharmaceutical, the intersection of speed and urine,etc..
(3)The elderly present the false hypertension phenomenon easily because of arteriosclerosis, the tolerance that this kind of hypertension patient opposes the hypertension medicine is relatively bad, it is apter to cause serious bad reaction and serious complication. The old hypertension patient steps down the speed should not be too quick at the same time, should not lower too low.
(4)The elderly's hypertension relies mainly on rising in systolic pressure, greater to the heart harmfulness, more incident and in heart failure, the apoplexy of brain more incident at the same time.
(5)The elderly the intersection of and reactivity of receptor reduce, it blocks tolerance of pharmaceutical to be better to the intersection of and receptor, but it is aroused in interest to still cause and relax the congestive danger in heart failure.
(7)Resisting the initial dosage of drug therapy of hypertension, increasing the dosage smaller than the young hypertension patient of the elderly's hypertension, spacing interval should be longer than the young hypertension patient too.
(8)The elderly's nervous system has relatively low function, depression at the time of the drug therapy more incident, so should avoid selecting the drug for hypertension acting on the central nervous system for use, such as coke fixing, first Quito bar,etc.. The elderly the intersection of and reactivity of receptor reduce, it blocks tolerance of pharmaceutical to be better to the intersection of and receptor, but it is aroused in interest to still cause and relax the congestive danger in heart failure.
(6)The elderly reduce the blood capacity to inhibit with the sympathetic nerve sensitively, this may relate to the fact that the elderly are cardiovascular to reflect damaging.
So, direct against the characteristic of the old essential hypertension, medical circles generally think that uses Traditional Chinese medicine to construct and manage and act as dialectically the best treatment route.
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