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治疗高血压时影响血清钾的因素。

Factors influencing serum potassium in treated hypertension.

作者信息

Ramsay L E, Boyle P, Ramsay M H

出版信息

Q J Med. 1977 Oct;46(184):401-10.

PMID:594295
Abstract

A retrospective survey of serum potassium measurements in a blood pressure clinic provided evidence that potassium supplements averaging 24 mmol daily were effective in elevating serum potassium concentration and reducing the incidence of hypokalaemia in diuretic-treated hypertensives. In patients treated with bendrofluazide the serum potassium concentration was related to the dose of diuretic, but not to age, sex, body weight, supine blood pressure or serum creatinine. There was no evidence that drugs other than diuretics or potassium (including beta-adrenergic blockers) had a clinically significant influence on serum potassium. The major part of the variation in serum potassium between patients could not be explained by the variables examined.

摘要

一项针对血压诊所血清钾测量的回顾性调查表明,每日平均补充24毫摩尔钾对提高利尿剂治疗的高血压患者的血清钾浓度和降低低钾血症发生率有效。在接受苄氟噻嗪治疗的患者中,血清钾浓度与利尿剂剂量有关,但与年龄、性别、体重、仰卧位血压或血清肌酐无关。没有证据表明除利尿剂或钾(包括β-肾上腺素能阻滞剂)以外的药物对血清钾有临床显著影响。患者之间血清钾的主要差异无法用所检查的变量来解释。

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