难治性高血压的治疗进展

难治性高血压即顽固性高血压,是高血压患者住院的主要原因之一,这类患者血压高且难以控制,危险度高,收缩压持续升高往往是难治性高血压的主要表现形式。难治性高血压的治疗是高血压治疗的难点,以往以研发新型降压药物为重点,但收效甚微,近年来其治疗理念发生了很大变化,主张采用综合疗法,包括生活方式干预、药物治疗、介入治疗、器械及手术治疗以及高血压疫苗。该文就其治疗进展进行综述。

Treatment Progress of Refractory Hypertension

Refractory hypertension is also known as resistant hypertension, which is one of the main causes for admission in hypertension patients. Patients with refractory hypertension usually have high blood pressure that is hard to control, as a result, there are high risk as well. Continuous rising systolic blood pressure is often the major manifestation of refractory hypertension. The treatment of the refractory hypertension is very difficult. Previous research was focused on the development of new drugs, hut with little effect. In recent years, the treatment concept changed greatly, comprehensive therapies is advocated, including lifestyle intervention, medication, interventional treatment, equipment and operation, and vaccine for hypertension. Here is to make a review of the treatment progress of refractory hypertension.