一些抗高血压药物不但作用于心血管,而且对支气管平滑肌也有很大作用,使用不当可产生严重的后果。为此,本文对慢阻肺合并高血压病患者如何合理使用降压药物作一浅述。1.利尿剂:此类药物降压作用较缓和,对气道阻力无任何影响。慢阻肺并高血压患者可安全使用,尤其适用于肺心病引起的右心衰竭和水潴留者。但需注意,此类药物可导致低钾性碱中毒而引起呼吸抑制。2.β受体阻滞剂:根据其特点可分为五类:① Some antihypertensive drugs not only act on the cardiovascular, but also on the bronchial smooth muscle has a great role, improper use can have serious consequences. To this end, this paper on COPD patients with hypertension how to make rational use of antihypertensive drugs for a brief review. 1. Diuretics: The antihypertensive effect of such drugs more modest, no effect on airway resistance. Chronic obstructive pulmonary disease and hypertension can be safely used, especially for pulmonary heart disease caused by right heart failure and water retention were. But be aware that such drugs can cause hypokalemic alkalosis and cause respiratory depression. 2. Beta blockers: According to their characteristics can be divided into five categories: ①