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[难治性高血压患者的管理]

[Management of patients with hypertension resistant to treatment].

作者信息

Girerd X, Hanon O

机构信息

Service de médecine interne Hôpital Broussais, Paris.

出版信息

Rev Prat. 1999 Mar 1;49(5):527-31.

Abstract

A patient with a blood pressure greater than 140/90 mmHg under triple drug therapy, including a diuretic, has a resistant hypertension. Management mandates the following steps: to identify antihypertensive treatments previously prescribed (doses, efficacy, side effects); to evaluate blood pressure levels outside the medical office; to inquire about poor compliance; to search for secondary hypertension. In most cases, tailoring of treatments improves the care of such patients.

摘要

在接受包括利尿剂在内的三联药物治疗时血压仍高于140/90 mmHg的患者患有顽固性高血压。治疗需要采取以下步骤:确定之前开具的抗高血压治疗方案(剂量、疗效、副作用);评估诊室以外的血压水平;询问是否存在依从性差的情况;查找继发性高血压。在大多数情况下,调整治疗方案可改善对此类患者的护理。

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