医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2015年
16期
5-6
,共2页
高血压%治疗%去肾交感神经术
高血壓%治療%去腎交感神經術
고혈압%치료%거신교감신경술
High blood pressure%Treatment%Renal sympathetic nerve surgery
顽固性高血压是一种日益常见的疾病，患者发生心血管事件的风险增高。临床上有20％~30％的高血压患者对降压治疗无效。对于这些患者，首先需要分析是否是人为因素导致，其次需要考虑继发性高血压，包括醛固酮增多症、慢性肾脏病、肾动脉狭窄及嗜铬细胞瘤等。正确处置导致继发性高血压的疾病，制定并使用有效的联合用药方案是治疗本病的途径。最新出现的颈动脉刺激法和去肾交感神经术已开始尝试用于治疗顽固性高血压。
頑固性高血壓是一種日益常見的疾病，患者髮生心血管事件的風險增高。臨床上有20％~30％的高血壓患者對降壓治療無效。對于這些患者，首先需要分析是否是人為因素導緻，其次需要攷慮繼髮性高血壓，包括醛固酮增多癥、慢性腎髒病、腎動脈狹窄及嗜鉻細胞瘤等。正確處置導緻繼髮性高血壓的疾病，製定併使用有效的聯閤用藥方案是治療本病的途徑。最新齣現的頸動脈刺激法和去腎交感神經術已開始嘗試用于治療頑固性高血壓。
완고성고혈압시일충일익상견적질병，환자발생심혈관사건적풍험증고。림상상유20％~30％적고혈압환자대강압치료무효。대우저사환자，수선수요분석시부시인위인소도치，기차수요고필계발성고혈압，포괄철고동증다증、만성신장병、신동맥협착급기락세포류등。정학처치도치계발성고혈압적질병，제정병사용유효적연합용약방안시치료본병적도경。최신출현적경동맥자격법화거신교감신경술이개시상시용우치료완고성고혈압。
Resistant hypertension is a common disease, it make increased risk of cardiovascular events. Clinically, there are 20%~ 30% of the patients with high blood pressure step-down treatment is invalid. For these patients, first of all, need to analyze whether it is man-made. Second, Should consider Secondary hypertension, including aldosteronism, chronic kidney disease, renal artery stenosis, pheochromocytoma, etc. Correct disposal the disease that leads to secondary hypertension, develop and use effective combination scheme, is the way of treatment for the disease. Latest carotid stimulation method, and renal sympathetic nerve surgery, began to try in the treatment of resistant hypertension.
