糖尿病病人中的降压治疗

Treatment of Hypertension in Diabetic Patients

高血压合并糖尿病是冠心病致死的最危险因素。有效的控制血压可以显著的降低糖尿病病人心血管事件的发病率与死亡率。高血压糖尿病病人的血压控制目标为 <13 0 /80mmHg(1mmHg =0 .13 3 3kPa)。为了达到这一血压水平 ,糖尿病病人的降压治疗包括合理的非药物治疗与药物治疗。在药物治疗中应选用血管紧张素转换酶抑制剂、血管紧张素受体拮抗剂、钙离子拮抗剂和小剂量利尿剂 。

Diabetes complicated Hypertension is the most risk fa ctors of fetal coronary heart disease.So effective control of blood pressure may decrease the morbility and mortality of cardiovascular events in diabetic patie nts distinctly.The target of blood control in diabetic patients should be <130/8 0mmHg.To achieve the level of target,blood control in diabetic patients include non-drug and drug therpy.In drug therpy,angiotensin converting enzyme inhibit ors(ACEI)、angiotensin-recepter blocker(ARB)、Calcium channal blocker(CCB) and low dose diuresis should be applicated firstly,and drug combination should be c onsidered.