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利尿剂治疗高血压的长期副作用(作者译)

[Long-term side-effects of diuretics in the treatment of hypertension (author's transl)].

作者信息

Dupont P, Ducobu J, Schreiber S

出版信息

Nouv Presse Med. 1981 Mar 28;10(14):1115-8.

PMID:7220282
Abstract

The clinical and biochemical side-effects of diuretics administered without potassium supplement were monitored during one year in 58 hypertensive out-patients. The only changes observed were a moderate rise in triglycerides (correlated with weight increase) and in blood glucose. Blood urea, creatinine, potassium, calcium, uric acid and cholesterol remained unchanged. The objections raised against the use of diuretics as anti-hypertensive agents, such as the need for close surveillance of biochemical values and the fear that the beneficial effects on blood pressure would be upset by an increase in other cardiovascular risk factors (some of which are still highly controversial), therefore appear to be unfounded.

摘要

在一年时间里,对58名高血压门诊患者使用未补充钾的利尿剂的临床和生化副作用进行了监测。观察到的唯一变化是甘油三酯(与体重增加相关)和血糖适度升高。血尿素、肌酐、钾、钙、尿酸和胆固醇保持不变。因此,针对使用利尿剂作为抗高血压药物所提出的反对意见,如需要密切监测生化指标,以及担心对血压的有益作用会因其他心血管危险因素增加(其中一些仍极具争议)而受到影响,似乎是没有根据的。

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