頁籤選單縮合
題名 | 頑固性高血壓的鑑別治療=Differential Diagnosis and Treatment of Resistant Hypertension |
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作者姓名(中文) | 張倪芳; 蔡佩宜; | 書刊名 | 澄清醫護管理雜誌 |
卷期 | 5:2 2009.04[民98.04] |
頁次 | 頁58-62 |
分類號 | 418.221 |
關鍵詞 | 頑固性高血壓; 藥物治療; 降血壓藥物; Resistance hypertension; Pharmacotherapy; Anti-hypertension drugs; |
語文 | 中文(Chinese) |
中文摘要 | 高血壓的控制對於忠者相當重要,但是臨床 上可以發現有部分忠者已經使用三種以上且足量的 降血壓藥物(其中必須包含利尿劑)其血壓值的控 制仍未能順利達到目標血壓值,稱為頑固性高血壓 (即istanthypertension) 頑固性高血壓的成因複雜,有時並未能切確 釐清病因。然而,要診斷為頑固性高血壓前,首 先要排除假性頑固性高血壓。假性頑固性高血壓 的可能原因如血壓測量不準確引起的假性高血壓 (pseudohypertension)、忠者心理性的白袍性高血 壓(white coal hypertension)、未給予患者最適當的 藥物治療計劃使其血壓控制不良、患者服藥順從性 差及不適當的生活習慣如攝取高鹽高油飲食等、生 理性或藥物引起細胞外液體積膨脹、使用引發血壓 上升藥物、或其他續發性高血壓等等。先排除假性 頑固性高血壓後,並給予忠者最適切的藥物治療計 劃,才得以避免不必要的藥物治療及醫療資源的浪 費。 |
英文摘要 | The control of hypertension is very important for patients. Clinically we find that some patients' blood pressure still cannot reach target levels despite the use of three or more full dosage anti-hypertension drugs including diuretics. We call this form of hypertension “resistanthypertension". The etiology of resistant hypertension is complicated and many times, there is no dφ;nitive etiology. However, bξfore the diagnosis of resistant hypertension is made, we should exclude pseudo-resistant hypertension. Pseudo-resistant hypertension may be due to an incorrect blood pressure measurement, white coat hypertension, an unsuitable treatment plan, poor compliance, inadequate life style such as a high salt and fatηdiet, the expansion of extra-cellular volume due to a drug, the physiological use of drug which increases blood pressure, 。rthe presence of other secondary hypertension. To avoid unnecessary treatment and unnecessary medical resources, we should first rule out pseudo-resistant hypertension and provide the most adequate drug treatment plan based upon these findings. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。