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选取已确诊高血压并糖尿病38例,降压治疗情况。结果:应用血管紧张素转换酶抑制剂(ACEI)26例,钙离子拮抗剂(CCB)23例,β受体阻滞剂12例,利尿剂4例,血管紧张素Ⅱ受体拮抗剂(ARB)5例,单一用药11例,联合用药7例。结论:高血压合并糖尿病者,应优先考虑ACEI或CCB类,如用ACEI类出现不良反应,使用ARB类,血压控制不满意,渐加用β受体阻滞剂、利尿剂,将血压降至130/85～140/90mmHg,延缓并发症发生。
Select the diagnosis of hypertension and diabetes 38 cases, antihypertensive treatment. Results: Twenty - six cases were treated with angiotensin - converting enzyme inhibitor (ACEI), 23 cases with calcium channel blocker (CCB), 12 cases with β - blocker, 4 cases with diuretic and 4 cases with angiotensin Ⅱ receptor antagonist ) In 5 cases, a single medication in 11 cases, combined medication in 7 cases. CONCLUSIONS: Patients with hypertension and diabetes mellitus should give priority to ACEI or CCB, such as adverse reactions with ACEI, ARB, unsatisfactory blood pressure control, gradually increasing β-blockers and diuretics, lowering blood pressure to 130/85 ~ 140 / 90mmHg, delay the occurrence of complications.