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目的探讨引起顽固性高血压的原因,提高对顽固性高血压的处理对策。方法回顾性分析我院门诊及住院部2002~2006年收治顽固性高血压患者63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50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3例;⑤治疗方案不当35例。结论顽固性高血压的原因较多,对患者认真分析,提高其控制率。
Objective To investigate the causes of refractory hypertension and to improve the treatment of refractory hypertension. Methods Retrospective analysis of our hospital outpatient and inpatient department from 2002 to 2006 in patients with refractory hypertension 63 cases of antihypertensive failure reasons, and for reasons leading to a healthy lifestyle, disable the blood pressure of the drug to exclude secondary high Blood pressure, reasonable treatment of complications, to develop a reasonable antihypertensive program. Results Analysis of the reasons for the failure of antihypertensive treatment: ① 2 cases of secondary hypertension; ② 50 cases of unhealthy lifestyles; ③ taking 2 cases of drugs with elevated blood pressure at the same time; ③ 3 cases of combined insulin resistance and hyperinsulinemia; 35 cases. Conclusion Reasons for intractable hypertension more careful analysis of patients to improve their control rate.