Jewett M A, Bombardier C, Logan A G, Psihramis K E, Wesley-James T, Mahoney J E, Luymes J J, Ibañez D, Ryan M R, Honey R J
Division of Urology and University of Toronto Urolithiasis Program, University of Toronto, Ontario, Canada.
J Urol. 1998 Oct;160(4):1241-3.
To answer the question of whether extracorporeal shock wave lithotripsy (ESWL*) induces hypertension, a prospective, randomized controlled trial of normotensive patients with asymptomatic renal calculi was designed.
Patients were randomized to receive immediate ESWL versus observation, reserving ESWL for the onset of symptoms. The rates of new onset hypertension were evaluated for both groups.
There was no observed difference in the incidence of hypertension between the treatment and observation groups.
The risk of hypertension in patients undergoing ESWL therapy is similar to that of a control cohort of initially observed asymptomatic patients.
为回答体外冲击波碎石术（ESWL*）是否会诱发高血压这一问题，设计了一项针对无症状肾结石的血压正常患者的前瞻性随机对照试验。
将患者随机分为立即接受ESWL组与观察组，症状出现时再对观察组进行ESWL治疗。评估两组新发高血压的发生率。
治疗组与观察组之间高血压的发生率未观察到差异。
接受ESWL治疗的患者发生高血压的风险与最初观察的无症状对照队列相似。
