论文部分内容阅读
“顽固”或“难治”性高血压是指同时给予3种以上最大耐受量的常规降压药(β阻滞剂与利尿剂加哌唑嗪,肼苯哒嗪或甲基多巴)。血压仍不能满意控制者,其原因有以下几方面: 顺从性(指遵守医嘱的程度):顺从性差是血压控制不良的最常见原因,多数病人由于用药方案复杂与多种副作用,使治疗不能坚持。健忘,孤独和精神异常也是部份原因,特别是在老年病人。解决的方法是每天只用药1—2次,(仅少数药每天给3次或更多次)。病人与医生保持良好关系,仔细的随访,可有助减少。
“Stubborn” or “refractory” hypertension refers to conventional antihypertensive drugs (beta blockers and diuretics plus prazosin, hydralazine, or methyldopa) that confer at least three tolerated doses at the same time, . Blood pressure is still not satisfied with the controller, for the following reasons: Compliance (referring to the degree of compliance): poor compliance is the most common cause of poor blood pressure control, the majority of patients due to medication regimens and a variety of side effects, treatment can not adhere to . Amnestic, loneliness and mental disorders are also part of the reason, especially in elderly patients. The solution is to take only 1-2 times a day, (only a few drugs to three times a day or more). Patients and doctors to maintain good relations, careful follow-up may help reduce.