| 慢性肾衰竭终末期高血压40例疗效观察 |
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| 引用本文： | 陈向前.慢性肾衰竭终末期高血压40例疗效观察[J].华中科技大学学报(医学版),2008,37(4). |
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| 作者姓名： | 陈向前 |
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| 作者单位： | 广东省肇庆市端州人民医院肾内科,肇庆,526040 |
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| 摘 要： | 目的 观察透析治疗、降压药物治疗对慢性肾衰竭(CRF)终末期高血压的降压效果.方法 收集 CRF 终末期高血压患者 40 例,分为透析组(22例)和非透析治疗组(18例)进行治疗并分析其疗效.结果 ①透析组 5 例患者经充分透析后血压降至目标值(130/80 mmHg),其余 17 例加用血管紧张素转换酶抑制剂(ACEI)、钙离子通道阻滞剂(CCB)治疗后仍有 2 例血压难以降至目标值,此时加用利尿剂、β-受体阻滞剂后降至目标值以下.②非透析组均服用CCB,12 例患者血压难以降至目标值.加用利尿剂、β-受体阻滞剂后 6 例降至目标值以下.结论 充分透析可有效降压,在此基础上合理联用 ACEI、CCB及-β受体阻滞剂,同时纠正钙磷比例失调,控制甲状旁腺功能亢进可增强降压效果.
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| 关 键 词： | 慢性肾衰竭 高血压 治疗效果 |
Clinical Observation on Therapeutic Effect of 40 Cases of End-stage Chronic Renal Function Failure-induced Hypertension |
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| Chen Xiangqian.Clinical Observation on Therapeutic Effect of 40 Cases of End-stage Chronic Renal Function Failure-induced Hypertension[J].Journal of Huazhong University of Science and Technology(Health Sciences),2008,37(4). |
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| Authors: | Chen Xiangqian |
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| Institution: | Chen Xiangqian Department of Nephrology,Duanzhou People\'s Hospital of Zhaoqing City,Zhaoqing 526040 |
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| Abstract: | Objective To observe the therapeutic effect of hemodialysis or hypotensive drugs in the treatment of 40 cases of end-stage chronic renal function failure-induced hypertension. Methods Forty patients with end-stage chronic renal function failure-induced hypertension admitted on our hospital during 2001.1-2007.7 were randomly divided into two groups: hemodialysis group (n=22) and non-hemodialysis group (n=18). The therapeutic effectiveness was analyzed. Results In hemodialysis group, blood pressure was reduce... |
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| Keywords: | renal failure chronic hypertension treatment effectiveness |
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