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一、高血压初期用药的选择 过去在国外,大多数医生一直选用利尿剂为首选药物,后来,β受体阻滞剂得到了普遍接受,美国高血压联合委员会推荐将上述两种药物作为高血压的首选药物。 而国内对轻、中度高血压的治疗则不同于国外的常用疗法(β阻滞剂+噻嗪类利尿剂)。自八十年代初,我国引进了钙拮抗剂及ACEI,并经大量的临床观察,目前这两类药物(特别是硝苯地平和卡托普利)已广泛应用于高血压的治疗中。
First, the choice of the initial treatment of hypertension In the past in foreign countries, most doctors have been using diuretics as the drug of choice, and later, β-blockers have been generally accepted, the Joint Commission on Hypertension recommended these two drugs as high blood pressure The preferred drug. The domestic treatment of mild to moderate hypertension is different from the commonly used therapy abroad (beta blockers + thiazide diuretics). Since the early 1980s, calcium antagonists and ACEI have been introduced in our country. After extensive clinical observation, the two drugs (especially nifedipine and captopril) have been widely used in the treatment of hypertension.