Teichmann G, Riethling A K
Z Gesamte Inn Med. 1980 Oct 1;35(19):suppl 103-5.
Main thought of the therapy of hypertension is the possibly far-reaching normalisation of the haemodynamics changed by hypertension with simultaneous control of undesirable side-effects. With the aim to keep the side-effects low, depending on the degree of severity and the complication of hypertension, on other basic diseases, age and situation of life important references to an individual therapy are the result for every patient. This is of importance for the selection of the drugs to be applied as well as for an individually suitable dosage. Nevertheless, the side-effects cannot always be fully avoided. The consideration of frequently appearing side-effects furthers a good patient compliance in an active doctor-patient relationship. An own study showed that in special consulting hour for hypertension only one third of the patients regularly take the drugs, another third arbitrarily had modified the therapy. The regularity of the consultation of the physician only little states about the intake behaviour of the patients.
高血压治疗的主要思路是使因高血压而改变的血流动力学尽可能实现深远的正常化，同时控制不良副作用。为了将副作用降至最低，根据高血压的严重程度和并发症、其他基础疾病、年龄以及生活状况，为每位患者制定个体化治疗的重要参考依据。这对于所应用药物的选择以及个体化适宜剂量都很重要。然而，副作用并非总能完全避免。对常见副作用的考量有助于在积极的医患关系中提高患者的依从性。一项自身研究表明，在高血压专科咨询门诊中，只有三分之一的患者规律服药，另有三分之一随意更改治疗方案。患者就诊的规律性与患者的服药行为关联不大。
