Soucek M
II. interní klinika Lékarské fakulty MU a FN u sv. Anny Brno.
Vnitr Lek. 2009 Apr;55(4):363-7.
Diabetes mellitus considerably worsens the prognosis of hypertension both in the occurrence of microvascular and macrovascular complications. The guidelines of the European Society of Hypertension and the European Society of Cardiology suggest a significantly more invasive treatment of hypertension achieving blood pressure target values below 130/80 mm Hg. The control of hypertension in diabetic patients treated with antihypertensives in the consulting rooms of our physicians is poor. Target values < 130/80 mm Hg are achieved in less than 5% of cases. More extensive application of combined treatment, in particular 3 or more antihypertensives, and improvement of patients' adherence to the treatment could improve the current situation.
糖尿病在微血管和大血管并发症的发生方面会显著恶化高血压的预后。欧洲高血压学会和欧洲心脏病学会的指南建议对高血压进行更积极的侵入性治疗,将血压目标值降至130/80 mmHg以下。在我们医生诊室接受抗高血压药物治疗的糖尿病患者中,高血压的控制情况较差。不到5%的病例能达到<130/80 mmHg的目标值。更广泛地应用联合治疗,尤其是三种或更多抗高血压药物,并提高患者对治疗的依从性,可能会改善当前的状况。