重视螺内酯在难治性高血压中的应用
摘要
难治性高血压是指在改善生活方式的基础上,足量、足疗程(〉1月)应用了含利尿剂3种或3种以上的降压药物而血压仍不达标者。目前难治性高血压的患病率尚不明了,推算在5%~30%之间,有效控制难治性高血压可显著提高我国人群高血压达标率。
出处
《医学新知》
CAS
2015年第6期369-370,共2页
New Medicine
参考文献10
-
1孙宁玲,霍勇,王继光,李南方,陶军,李勇,严晓伟,蒋雄京,李学旺.难治性高血压诊断治疗中国专家共识[J].中华高血压杂志,2013,21(4):321-326. 被引量:156
-
2Weber M A, Schiin E L, White WB, et al. Clinical practice guide- lines for the management of hypertension in the community., a state- ment by the american society of hypertension and the international so-ciety of hypertension [ J ]. J Clin Hypertens (Greenwich) , 2014,6 (1) :14 -26.
-
3Joel C Marts. Spironolactone Management of Resistant Hypertension [ J]. Ann Pharmacother,2010,44 : 1762-1769.
-
4Jansen P M, Danser A H, Imholz B P, et al. Aldosterone -receptor antagonism in hypertension [ J ]. Journal of Hypertension, 2009,27 : 680-691.
-
5GianLuca Colussi, Cristiana Catena, and Leonardo A. SechiSpirono- lactone,eplerenone and the new aldosterone blockers in endocrine and primary hypertension [ J ]. Journal of Hypertension, 2013,31 : 3- 15.
-
6Nishisaka M K, Zaman, MA& Calhoun D A. Efficacy of low - dose spironolactone in subjects with resistant hypertension[ J ]. Am J tty- pertens ,2003,16:925-930.
-
7de Souza F, Muxfeldt E, Fiszman R, et al. Efficacy of spironolactone therapy in patients with tree resistant hypertension [ J ]. Hyperten- sion,2010,55 ( 1 ) : 147-152.
-
8Jan Va'clavik, Richard Sedla k, Martin Plachy, et al. Addition of Spi- ronolactone in Patients With Resistant Arterial Hypertension( ASPIR- ANT) : A Randomized, Double - Blind, Placebo - Controlled Trial [ J]. Hypertension ,2011,57 : 1069-1075.
-
9Williams J S. Hypertension:spironolaetone and resistant hypertension [ J]. Nat Rev Endocrino1,2010 ,6 (5) :248-250.
-
10Rosa J, Widimsk-, P, Tou-ek P, et al. Randomized comparison of re- nal denervation versus intensified pharmacotherapy includingspirono- lactone in true - resistant hypertension : six - month results from the prague - 15 study [ J ]. Hypertension,2015,65 (2) :407-413.
二级参考文献25
-
1Calhoun DA, Jones D,Textor S,et al. Resistant hypertension:diagnosis, evaluation? and treatment. A scientific statement fromthe American Heart Association professional education committeeof the council for high blood pressure research[J]. Hypertension,2008,51(6):1403-1419.
-
2Chobanian AV, Bakris GL, Black HR* et al; Joint national com-mittee on prevention,detection, evaluation, and treatment ofhigh blood pressure. National heart, lung, and blood institute;National high blood pressure education program coordinating com-mittee. Seventh report of the joint national committee on preven-tion, detection, evaluation, and treatment of high blood pressure[J]. Hypertension,2003,42(6) : 1206-1252.
-
3Dahlof B,Sever PS, Poulter NR, et al. ASCOT Investigators.Prevention of cardiovascular events with an antihypertensive regi-men of amlodipine adding perindopril as required versus atenololadding bendroflumethiazide as required, in the Anglo-Scandinavi-an cardiac outcomes trial-blood pressure lowering arm(ASCOT-BPLA) : a multicentre andomized controlled trial[J].Lancet,2005,366(9489) :895-906.
-
4Jamerson K, Weber MA, Bakris GL, et al. ACCOMPLISH trialinvestigators. Benazepril plus amlodipine or hydrochlorothiazidefor hypertension in high-risk patients[J]. N Engl J Med,2008,359(23):2417-2428.
-
5Schmieder RE!, Redon J,Grassi G, et al. ESH position paper:renal denervation-an interventional therapy of resistant hyperten-sion[J]. J Hypertens,2012,30(5) :837-841.
-
6Tsioufis C, Kordalis A,Flessas D,et al. Pathophysiology of re-sistant hypertension: the role of sympathetic nervous system[J].Int J Hypertens,2011 ;2011 :642416.
-
7Barajas L,Liu L, Powers K. Anatomy of the renal innervation:intrarenal aspects and ganglia of origin [J]. Can J PhysiolPharmacol,1992,70(5) :735-749.
-
8Hering D, Mahfoud F,Walton AS,et al. Renal denervation inmoderate to severe CKD[J]. J Am Soc Nephrol, 2012? 23 (27):1250-1257.
-
9Laurent S,Schlaich M, Esler M. New drugs, procedures, anddevices for hypertension[J], Lancet,2012,380(9841) :591-600.
-
10Aucott L,Poobalan A,Smith WC, et al. Effects of weight loss inoverweight/obese individuals and long-term hypertension outcomes : asystematic review[J], Hypertension,2005,45(6) : 1035-1041.
共引文献155
-
1谭国柱,卢允健,叶发卓.石决牡蛎汤联合氯沙坦治疗难治性高血压的临床观察[J].慢性病学杂志,2023(10):1555-1558.
-
2陈丽霞.电耳针联合西药治疗顽固性高血压的临床观察[J].内蒙古中医药,2023,42(2):67-70. 被引量:1
-
3刘立立,张伶俐,曾力楠,张川.卡维地洛联合螺内酯治疗难治性高血压的系统评价[J].医药导报,2015,34(S01):141-144. 被引量:11
-
4陈健.基层医院难治性高血压临床分析[J].医学信息(医学与计算机应用),2016,29(25):245-245.
-
5蒋阳,胡耀琪,唐娟.老年非透析慢性肾脏病合并高血压患者难治性高血压的影响因素[J].中国老年学杂志,2014,34(11):3020-3022. 被引量:14
-
6孙宁玲.难治性高血压的诊治、评估简易流程[J].心脑血管病防治,2013,13(4):259-260.
-
7佟爱云.综合护理干预对难治性高血压临床效果的影响[J].黑龙江医药,2013,26(6):1181-1182. 被引量:1
-
8蒋雄京,董徽.经皮经导管去肾神经术治疗难治性高血压的临床规范[J].心血管病学进展,2013,34(6):719-722.
-
9卢成志,张瑾.经导管去肾交感神经术——当前各种技术的优劣比较[J].心血管病学进展,2013,34(6):722-725. 被引量:2
-
10司亮,李七一.李七一教授诊治难治性高血压经验撷萃[J].内蒙古中医药,2013,32(36):62-62. 被引量:6
-
1梦荷,范琳.结核病患者中,耐药、耐多药者不少[J].自我保健,2015,0(11):21-21.
-
2段玉.老年原发性高血压的临床护理[J].中国医药导报,2007,4(03Z):11-12. 被引量:7
-
3李居献,孔凡沛,孙长永,申桂芳,童艳秋.螺内酯治疗难治性高血压23例疗效观察[J].海南医学,2011,22(1):25-27. 被引量:7
-
4曾艳霞.代谢综合征的防治[J].中国疗养医学,2009,18(2):120-121. 被引量:2
-
5吴可贵.改变不合理的生活方式,减少高血压危害[J].高血压杂志,2003,11(2):187-187. 被引量:35
-
6窦敬芳.血脂康治疗非酒精性脂肪性肝病的临床研究[J].中国民康医学,2006,18(16):582-582.
-
7孙都.浅谈糖尿病[J].求医问药(下半月刊),2011,9(11):224-225.
-
8金龙,周昕欣,马腾,吴晓兰.阿托伐他汀联合阿司匹林对颈动脉粥样硬化的影响[J].山东医药,2014,54(17):58-59. 被引量:8
-
9李萍,宋光耀.2型糖尿病及其大血管病变的抗炎治疗进展[J].中国全科医学,2005,8(21):1802-1803. 被引量:2
-
10梁梅,郝应禄,李晓霞,潘云席,李燕萍.联合螺内酯治疗难治性高血压[J].昆明医学院学报,2006,27(4):146-146. 被引量:5