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长期接受利尿剂治疗的高血压患者糖耐量恶化。

Deterioration of glucose tolerance in hypertensive patients on prolonged diuretic treatment.

作者信息

Lewis P J, Kohner E M, Petrie A, Dollery C T

出版信息

Lancet. 1976 Mar 13;1(7959):564-6. doi: 10.1016/s0140-6736(76)90359-7.

DOI:10.1016/s0140-6736(76)90359-7
PMID:55840
Abstract

Glucose tolerance was investigated in 51 hypertensive patients before and after 1 and 6 years of treatment with oral diuretics. Glucose tolerance was unchanged after 1 year but had deteriorated significantly after 6 years' therapy. In a comparable group of 16 patients tested at similar intervals in which diuretic therapy had been given only for 3 of the 6 years there was no change in glucose tolerance, suggesting that prolonged oral treatment with thiazide diuretics is diabetogenic.

摘要

对51例高血压患者在口服利尿剂治疗1年和6年前后的糖耐量进行了研究。1年后糖耐量未变,但6年治疗后显著恶化。在一组16例类似的患者中,以相似的间隔进行检测,其中利尿剂治疗仅在6年中的3年进行,糖耐量没有变化,这表明长期口服噻嗪类利尿剂会导致糖尿病。

相似文献

1
Deterioration of glucose tolerance in hypertensive patients on prolonged diuretic treatment.长期接受利尿剂治疗的高血压患者糖耐量恶化。
Lancet. 1976 Mar 13;1(7959):564-6. doi: 10.1016/s0140-6736(76)90359-7.
2
Glucose intolerance in hypertensive patients treated with diuretics; a fourteen-year follow-up.使用利尿剂治疗的高血压患者的葡萄糖耐量异常;一项十四年随访研究。
Lancet. 1982 Dec 11;2(8311):1293-5. doi: 10.1016/s0140-6736(82)91506-9.
3
[Do thiazide diuretics cause diabetes?].噻嗪类利尿剂会导致糖尿病吗?
Tidsskr Nor Laegeforen. 2001 May 30;121(14):1720-2.
4
Letter: Glucose intolerance and diuretics.
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Impairment of glucose metabolism during treatment with antihypertensive drugs.
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[Impaired glucose tolerance and diuretics. A study of withdrawal].糖耐量受损与利尿剂。一项撤药研究
Tidsskr Nor Laegeforen. 1986 Apr 10;106(9):741-3.
7
[Are thiazides diabetogenic?].噻嗪类药物会导致糖尿病吗?
Tidsskr Nor Laegeforen. 1993 Aug 30;113(20):2587-9.
8
Do KCa channels and carbonic anhydrase play a role in thiazide-induced hyperglycaemia?钾钙通道和碳酸酐酶在噻嗪类药物诱导的高血糖中起作用吗?
J Hum Hypertens. 1995 Aug;9(8):691-3.
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Hyperlipidemia in hypertension: causes and prevention.高血压中的高脂血症:病因与预防
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The use of diuretics in modern antihypertensive therapy.利尿剂在现代抗高血压治疗中的应用。
Acta Pharmacol Toxicol (Copenh). 1984;54 Suppl 1:79-87. doi: 10.1111/j.1600-0773.1984.tb03638.x.

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Recent Advances in Pharmacological Management of Hypertension in Diabetic Patients with Nephropathy : Effects of Antihypertensive Drugs on Kidney Function and Insulin Sensitivity.糖尿病肾病患者高血压药物治疗的最新进展:抗高血压药物对肾功能和胰岛素敏感性的影响
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3
Prediabetes and cardiovascular risk in hypertensive patients.
高血压患者的糖尿病前期与心血管风险
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Metabolic issues in the Antihypertensive and Lipid-Lowering Heart Attack Trial Study.
Curr Hypertens Rep. 2004 Apr;6(2):106-10. doi: 10.1007/s11906-004-0084-7.
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Drug-induced disorders of glucose metabolism. Mechanisms and management.药物诱导的糖代谢紊乱。机制与管理。
Drug Saf. 1996 Aug;15(2):135-57. doi: 10.2165/00002018-199615020-00005.
6
Which diuretic to use?该使用哪种利尿剂?
Cardiovasc Drugs Ther. 1994 Feb;8(1):123-8. doi: 10.1007/BF00877100.
7
The link between insulin resistance and hypertension. Effects of antihypertensive and antihyperlipidaemic drugs on insulin sensitivity.胰岛素抵抗与高血压之间的联系。抗高血压和抗高血脂药物对胰岛素敏感性的影响。
Drugs. 1994 Mar;47(3):383-404. doi: 10.2165/00003495-199447030-00002.
8
Errors and misconceptions in drug prescribing.药物处方中的错误与误解。
J R Coll Physicians Lond. 1980 Jan;14(1):58-64.
9
Assessment of natriuretic drugs.利钠药物的评估。
Br J Clin Pharmacol. 1981 Oct;12(4):465-74. doi: 10.1111/j.1365-2125.1981.tb01252.x.
10
Effect of furosemide on insulin and glucagon responses to arginine in normal subjects.速尿对正常受试者胰岛素及胰高血糖素对精氨酸反应的影响。
Diabetologia. 1980 Apr;18(4):293-6. doi: 10.1007/BF00251008.