高血压合并糖尿病的降压策略.pdf

2009年9月第29卷第9期中国实用内科杂志597

学教育,2006,20:14-18.宁省介入学会副主任委员,中华医学会心血管病学会介入
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prevalenceofsecondaryhypertensionamonghypertensivepatients
提要:高血压合并糖尿病的发病率很高,此时患者正常
visitingageneraloutpatientclinicinJapan[J].HypertensRes,
的杓型动态血压节律消失,收缩压尤其是夜间的收缩压明
2004,27:193-202.
显升高。强化降压可使此类患者获得较大的益处目标血
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[5]HansonKJ,EdwardsMS,CravenTE,etal.Prevalenceofrenovas2压应为130/80mmHg或者更低。同时,强化非药物治疗亦
culardiseaseintheelderly:apopulation2basedstudy[J].JVasc很重要。糖尿病患者控制血压常常需要2种或以上药物联
Surg,2002,36:443-451.合治疗,其中血管紧张素转换酶抑制剂(ACEI)或血管紧张
[6]JeanWJ,Al2BitarI,ZwickeDL,etal.Highincidenceofrenalar2素受体阻滞剂(ARB)应为首选;钙通道阻滞剂(CCB)、β受
terystenosisinpatientswithcoronaryarterydisease[J].Cathet体阻滞剂和利尿剂也可以作为一线用药,或联合治疗的组
CardiovascDiagn,1994,32:8-10.成部分。药物的选择应根据基线血压水平、有无靶器官损
[7]KaplanNM.Thecurrentepidemicofprimaryaldosteronism:causes
害和危险因素进行。
andconsequences[J].Hypertens,2004,22:863-869.
关键词:高血压;糖尿病;降压
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