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目的探讨影响降压药物疗效的原因。方法分析89例药物治疗效果不好的高血压患者的临床资料及处方。结果降压药物组合不合理(未合用利尿剂)11例;同时服用其他药物干扰降压药物作用6例;未注意生活方式(包括长期打麻将、扑克,未限盐饮食,频繁吸烟,不运动等)72例;血脂异常48例;血糖异常16例。单一原因者8例,2项以上者81例。结论高血压疗效不好时,要关注这些原因,进行调治,以达到理想的降压效果。
Objective To explore the reasons for the effect of antihypertensive drugs. Methods Clinical data and prescriptions of 89 patients with hypertension who did not respond well were analyzed. Results The combination of antihypertensive drugs was unreasonable (unadipted diuretic) in 11 cases; taking other drugs interfere with antihypertensive drugs in 6 cases; did not pay attention to lifestyle (including long-term playing mahjong, poker, salt diet, frequent smoking, no exercise Etc.) 72 cases; dyslipidemia in 48 cases; abnormal blood glucose in 16 cases. A single reason in 8 cases, more than 2 in 81 cases. Conclusion When the curative effect of hypertension is not good, we should pay attention to these reasons and adjust the treatment to achieve the ideal antihypertensive effect.