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目的回顾性分析顽固性高血压降压失败原因,提高对本病的诊治水平。方法回顾性分析我院门诊2002～2006年收治顽固性高血压患者42例降压失败的原因,并针对原因引导健康生活方式,停用使血压升高的药物,排除继发性高血压,合理治疗合并症,制定合理降压方案。结果降压失败原因分析:①继发性高血压2例;②不健康生活方式16例;③同时服用使血压升高药物2例;④合并胰岛素抵抗和高胰岛素血症2例;⑤治疗方案不当20例。结论42例患者血压均控制在正常范围。
Objective To retrospectively analyze the causes of failure of antihypertensive refractory hypertension and improve the diagnosis and treatment of this disease. Methods Retrospective analysis of our hospital outpatient 2002-2006 42 cases of refractory hypertension patients failed to cause the cause of antihypertensive, and for reasons leading to a healthy lifestyle, disable the drugs to increase blood pressure, to exclude secondary hypertension, reasonable Treatment of complications, to develop a reasonable antihypertensive program. Results Analysis of the causes of the failure of antihypertensive treatment: ① secondary hypertension in 2 cases; ② unhealthy lifestyles in 16 cases; ③ taken simultaneously to make blood pressure increased in 2 cases; ④ combined insulin resistance and hyperinsulinemia in 2 cases; ⑤ improper treatment 20 cases. Conclusion The blood pressure of 42 patients was controlled within the normal range.