高血压合并糖尿病的治疗方法选择
The treatment of hypertension with diabetes
摘要
1 病例
患者,男性,70岁.因患糖尿病和高血压10年入院.最高血压为180/90mmHg.经口服降压药后,血压控制在140/80mmHg左右.患病以来,血糖一直未得到理想控制.3年前出现双下肢水肿,同时查血发现肾功能异常.3年前患脑梗塞,并导致左侧肢体瘫痪,有冠心病史2年,目前稳定.体格检查:双下肢水肿.
参考文献8
-
1Pahor M, Psaty BM, Alderman MH, et al. Health outcomes associatcd with calcium antagonists compared with other first-line antihypertensive therapies: a Meta-analysis of randomised controlled trials[J] Lancet 2000 ;(9)356 : 1949 - 54.
-
2Flathex MD. Yusuf S, Kober L, Pfeffer M, et al. Long-term ACE-inhibitor therapy in patients with heart failure or left-ventricular dysfunction: a systematic overview of data from individual patients[J]. Lancet 2000 ;355(9215) : 1575 - 81.
-
3Fuller J, Stevens LK, Chaturcedi N, et al.Antihypertensive therapy for preventing cardiovascular complications in people with diabetes mellitus.Cochrane Database Syst Rev 2000 ; 2 : CD002188.
-
4Landray MJ, Kendall MJ. Beta-blockers in heart failurea cardioprotective therapy[J]? J Clin Pharm Ther 1997;22(3):181 - 5.
-
5Psaty BM, Smith NL, Siscovick DS,et al. Health outcomes amociated with antihypertensive therapies used as first-line agents. A systematic review and Meta-analysis[J]. JAMA 1997,277(9) :739 -45.
-
6Byington RP, Jukema JW, Salonen JT, et al. Reduction in cardiovascular events during pravastatin therapy:pooled analysis of clinical events of pavastatin atherosclerosis intervention program[J]. Circulation 1995;92(9) :2419.
-
7Guhitz G, Sandercock P, Counsell C. Antiplatelet therapy for acute ischemic stroke(Coehrane Review) [M/CD]. In: The Cochrane Library, Issue 1,2001.Oxford: Update Software.
-
8Wilterdink JL, Easton JD. Dipyridamole plus aspirin in cerebrovascular disease [J]. Arch Neurol 1999 ;56 (9) : 1087- 92.
-
1郭向阳,朱志刚.胰岛素强化治疗对早期糖尿病肾病UMA的影响[J].实用糖尿病杂志,2006,2(4):42-43. 被引量:2
-
2刘琼.马来酸依那普利治疗25例高血压疗效观察[J].江西医药,2007,42(10):899-900.
-
3聂英娥.老年低血糖脑病30例诊治分析[J].辽宁医学杂志,2011,25(2):108-109.
-
4王晓如,鲍善荣.以肢体瘫痪为主要表现的糖尿病低血糖症1例[J].世界感染杂志,2001,1(5):462-462.
-
5张永中.老年慢性肺心病并糖尿病的诊治特点[J].糖尿病新世界,2014,34(11):144-144.
-
6苏德淳.重视射血分数正常的心力衰竭[J].中国社区医师,2010(22):9-9.
-
7王峰,郭秋红,郑继红.低血糖致肢体瘫痪13例报告[J].齐齐哈尔医学院学报,2001,22(9):1040-1041.
-
8马毓.貌似急性脑卒中的低血糖脑病15例分析[J].农垦医学,2004,26(4):272-273. 被引量:1
-
9陈大夫.血压波动大该怎么办[J].医药与保健,2005,13(5):45-45.
-
10林紫薇,蒋冉,宋莹莹.胺碘酮致尖端扭转型室性心动过速一例[J].中华老年多器官疾病杂志,2006,5(2):98-98.