The Hypertensions of Diabetes
The Hypertensions of Diabetes
复制标题
糖尿病引起的高血压
DOI：
10.2337/diacare.5.1.50
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发表时间：
1982
期刊：
影响因子：
16.2
通讯作者：
Richard Christlieb
中科院分区：
文献类型：
--
作者：
Richard Christlieb
糖尿病患者可能患有几种形式的高血压中的任何一种。这些包括原发性高血压、三种收缩期高血压、与糖尿病肾病相关的高血压（“糖尿病高血压”）和与神经病相关的高血压（仰卧位高血压伴直立性低血压）。由于每种高血压的高血压机制存在差异，因此应根据高血压的类型调整抗高血压药物的使用。在这篇综述中，将讨论治疗糖尿病高血压的基本原理，概述糖尿病特有的抗高血压药物的作用机制和潜在副作用，并详细介绍基于产生每种高血压的机制的具体抗高血压治疗方案。
Patients with diabetes mellitus may have any one of several forms of hypertension. These include essential hypertension, systolic hypertension of three varieties, the hypertension associated with diabetic nephropathy (“diabetic hypertension”), and the hypertension associated with neuropathy (supine hypertension with orthostatic hypotension). Because there are differences in the hypertensive mechanisms in each of these hypertensions, the use of antihypertensive medications should be tailored to the type of hypertension present. In this review, the rationale for treating hypertension in the diabetic will be discussed, the mechanisms of action and potential side effects of antihypertensive drugs peculiar to the diabetic will be outlined, and specific antihypertensive therapy programs based on the mechanisms involved in producing each of the hypertensions will be detailed.