摘要
难治性高血压是全科医生乃至高血压专科医生面临的常见问题,占高血压患者的20%~30%。评估是否为难治性高血压必须以正确的血压测量为前提,同时还应该明确患者是否存在有依从性差、生活模式不良及药物匹配不合理等原因造成的假性难治性高血压的可能。难治性高血压常有多种病因,继发性高血压是难治性高血压的重要原因,寻找病因对于制定治疗方案极为重要。难治性高血压药物治疗的成功与否很大程度上取决于经治医生的经验,成功的治疗必须建立在对临床资料进行充分评估和积极而全面干预的基础之上。
Resistant hypertension is a common problem faced by primary care clinicians and hypertension specialist, accounting for about 20%~30% in hypertensive patients. Measurement of blood pressure correctly is the premise to evaluate whether patients are with resistant hypertension. Meanwhile we need pay attention to whether is pseudoresistance, that is the possibility of patients with poor compliance, unhealthy life style and unreasonable drug matching. Resistant hypertension is almost always multifactorial in etiology and secondary hypertension is a vital element. To find the cause is very important to make treatment plan. Successful treatment for resistant hypertension is depended to a large extent by the treating experience, overall based assessment and comprehensive intervention on the clinical data.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2015年第4期303-305,共3页
Chinese Journal of Practical Internal Medicine
关键词
高血压
难治性
hypertension
refractory
