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[动脉高血压、非药物治疗与心血管风险]

[Arterial hypertension, non-drug treatment and cardiovascular risk].

作者信息

Blacher J, Tartiere J M, Amah G, Campa P, Raison J, Safar M

机构信息

Service de Médecine Interne, Hôpital Broussais, Paris.

出版信息

Ann Cardiol Angeiol (Paris). 1998 Feb;47(2):81-5.

PMID:9772933
Abstract

Four non-drug measures have been shown to be effective on reduction of blood pressure: low-salt diet, weight loss, reduction of alcohol consumption and sports activity. Other measures, mainly dietary (increased potassium intake, DASH diet), may also be effective. The two limits to non-drug treatment of HT are the absence of demonstrated benefit in terms of cardiovascular morbidity-mortality, and the difficulty to ensure good patient compliance with this type of often constraining measure. However, these non-drug measures could probably decrease the overall level of cardiovascular risk. The main drawback, related to the required modification of the patient's lifestyle, is poor compliance with these measures. Compliance can be improved by various methods which share in common their time-consuming nature.

摘要

已证明有四种非药物措施对降低血压有效

低盐饮食、减肥、减少酒精摄入和体育活动。其他措施,主要是饮食方面的(增加钾摄入、得舒饮食),可能也有效。高血压非药物治疗的两个局限性在于,在心血管发病-死亡率方面未显示出明显益处,以及难以确保患者很好地依从这类往往具有限制性的措施。然而,这些非药物措施可能会降低心血管风险的总体水平。主要缺点是,由于需要改变患者的生活方式,这些措施的依从性较差。可以通过各种方法来提高依从性,这些方法的共同特点是耗时。

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