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2018年美國糖尿病學會針對糖尿病合併高血壓之標準治療建議

摘要


本次標準治療指引新增加了一項建議:所有罹患糖尿病的高血壓患者應該在家測量血壓,以幫助確認是隱匿性高血壓或白袍高血壓,同時還可改善用藥行為。針對同時有糖尿病和高血壓的患者如何選擇降血壓藥物的治療建議,新增加了一個圖(圖1),並且新增加了一個表(表1),來總結比較強化降壓治療與標準降壓治療策略的研究。對於頑固性高血壓患者,增加了一個建議:考慮鹽皮質激素受體拮抗劑治療。

參考文獻


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