Kaplan N M
Department of Internal Medicine, The University of Texas Southwestern Medical Center at Dallas, USA.
Am J Cardiol. 1996 Feb 22;77(6):3B-5B. doi: 10.1016/s0002-9149(97)89231-4.
Diuretics have been used less often for the treatment of hypertension over the past few years for a variety of reasons. However, their use will almost certainly go back up for many reasons, including the recent publication of trials with appropriately low doses of diuretics that have shown excellent protection against the major cardiovascular causes of death. Moreover, resistance to antihypertensive therapy is most commonly caused by inadequate diuretic therapy. Therefore, I believe diuretics will continue to be a cornerstone of antihypertensive therapy in the future.
在过去几年中，由于多种原因，利尿剂在高血压治疗中的使用频率有所降低。然而，几乎可以肯定的是，由于多种原因，其使用将会再度增加，包括近期发表的关于适当低剂量利尿剂的试验表明，这些利尿剂对主要心血管死亡原因具有出色的预防作用。此外，抗高血压治疗的耐药性最常见的原因是利尿剂治疗不足。因此，我认为利尿剂在未来仍将是抗高血压治疗的基石。
