[1]李波 郭毅 田进文 邓珏琳.高血压合并2型糖尿病的治疗进展[J].心血管病学进展,2019,(9):1196-1198.[doi:10.16806/j.cnki.issn.1004-3934.2019.09.002]
 LI Bo,GUO Yi,TIAN Jinwen,et al.Therapy in Hypertensive Patients with Type 2 Diabetes Mellitus[J].Advances in Cardiovascular Diseases,2019,(9):1196-1198.[doi:10.16806/j.cnki.issn.1004-3934.2019.09.002]
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高血压合并2型糖尿病的治疗进展()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2019年9期
页码:
1196-1198
栏目:
主题综述
出版日期:
2019-12-25

文章信息/Info

Title:
Therapy in Hypertensive Patients with Type 2 Diabetes Mellitus
作者:
李波 郭毅 田进文 邓珏琳
进文 邓珏琳 (解放军总医院 海南医院心血管内科,海南 三亚 572013 )
Author(s):
LI Bo GUO Yi TIAN Jinwen DENG Juelin
(Department of Cardiology,Chinese PLA General Hospital Hainan Hospital, Sanya 572013, Hainan,China)
关键词:
高血压2型糖尿病治疗
Keywords:
Hypertension Diabetes mellitus Therapy
DOI:
10.16806/j.cnki.issn.1004-3934.2019.09.002
摘要:
高血压是心血管疾病的主要危险因素,尤其是对于高血压病合并2型糖尿病的患者,两种疾病同时并发可显著增加患者心、脑、肾等靶器官损害风险,有效降低高血压和控制高血糖是降低心血管远期严重并发症的发生和降低该类患者病死率的关键。血管紧张素转换酶抑制剂和血管紧张素Ⅱ受体阻滞剂是大多数指南推荐的首选降压药物,二甲双胍、胰高血糖素样肽-1受体激动剂、钠-葡萄糖同向转运蛋白2抑制剂等降糖药物有一定协同降压作用。现简要阐述目前针对高血压合并2型糖尿病的患者在治疗上的进展。
Abstract:
Hypertension is a major risk factor for?cardiovascular disease and, particularly, in diabetes mellitus.?Risk in cardio-cerebral vascular complication significantly increased in patients with both this combination. Therefore, the management of elevated blood pressure is a critical component of the comprehensive clinical management of diabetics. Guidelines recommended ACE inhibitors or ARBs as initial therapy for hypertension patients with diabetes mellitus. New antidiabetic drugs, such as GLP-1 receptor agonist, DPP-4 inhibitors and SLGT-2 inhibitors, may have positive effects on blood pressure. The article reviews the progress of therapy in hypertensive patients with diabetes mellitus

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更新日期/Last Update: 2020-02-06