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高血压和糖尿病同为常见的老年性疾病。对高血压合并糖尿病的患者采用合适的降压药物治疗是一个重要的问题。与非糖尿病患者相比,糖尿病患者高血压发生率要高。文献报道,约2/3的2型糖尿病患者合并高血压。无论是发达国家还是发展中国家,糖尿病和高血压患病率都呈快速增长趋势。目前各国的高血压治疗指南层出不穷,对糖尿病患者高血压的治疗原则也有所差异。本文就高血压合并糖尿病患者降压治疗的目的、各种降压药物的评价等作一综述,供临床医师为糖尿病合并高血压的患者选择降压药物做一参考。
Hypertension and diabetes are common senile diseases. The use of appropriate antihypertensive medication in patients with hypertension and diabetes mellitus is an important issue. Compared with non-diabetic patients, the incidence of hypertension in diabetic patients is higher. Reported in the literature, about 2/3 of type 2 diabetes patients with hypertension. Both developed and developing countries, the prevalence of diabetes and hypertension showed a rapid growth trend. At present, the guidelines for the treatment of hypertension in various countries are endless, and the treatment principles of hypertension in patients with diabetes are also different. This article reviews the purpose of antihypertensive therapy in patients with hypertension and diabetes mellitus, the evaluation of various antihypertensive drugs and other reviews for clinicians to select a antihypertensive drug for patients with diabetes mellitus and hypertension.