《高血压合理用药第二版指南解读》.pptVIP

交感神经末梢抑制药（利血平），直接血管扩张剂（井屈秦） * * 2010中国指南推荐高血压合并肾功能受损早期，必要时可联用2-3种降压药物，其中应包括1 种RAAS 抑制剂。如血肌酐＞265.2 μmol/L或GFR＜30 ml/（min?1.73m2）或有大量蛋白尿，此时宜首先用二氢吡啶类CCB，噻嗪类利尿剂可改用袢利尿剂（如呋塞米）。对于终末期肾病未透析者一般不使用ACEI 或ARB 及噻嗪类利尿剂，可用CCB、袢利尿剂等降压治疗，必要时增加α/β 受体阻滞剂。 JNC 8 推荐初始（或增加）降压治疗应包括ACEI或ARB，以改善预后。血压目标值为＜ 140/90 mmHg。 * * * TRACKER Unit of measure Title Unit of measure Legend1 Legend2 Legend3 Legend4 Legend1 Legend2 Legend3 Legend1 Legend2 Legend3 Legend4 Legend5 ILLUSTRATIVE 1 Footnote Source: Source TRACKER Title Unit of measure Legend1 Legend2 Legend3 Legend4 Legend1 Legend2 Legend3 Legend1 Legend2 Legend3 Legend4 Legend5 ILLUSTRATIVE Source: Source | IBE project update | Confidential TRACKER Unit of measure Title Unit of measure Legend1 Legend2 Legend3 Legend4 Legend1 Legend2 Legend3 Legend1 Legend2 Legend3 Legend4 Legend5 ILLUSTRATIVE 1 Footnote Source: Source TRACKER Title Unit of measure Legend1 Legend2 Legend3 Legend4 Legend1 Legend2 Legend3 Legend1 Legend2 Legend3 Legend4 Legend5 ILLUSTRATIVE Source: Source | IBE project update | Confidential TRACKER Unit of measure Title Unit of measure Legend1 Legend2 Legend3 Legend4 Legend1 Legend2 Legend3 Legend1 Legend2 Legend3 Legend4 Legend5 ILLUSTRATIVE 1 Footnote Source: Source TRACKER Title Unit of measure Legend1 Legend2 Legend3 Legend4 Legend1 Legend2 Legend3 Legend1 Legend2 Legend3 Legend4 Legend5 ILLUSTRATIVE Source: Source | IBE project update | Confidential TRACKER Unit of measure Title Unit of measure Legend1 Legend2 Legend3 Legend4 Legend1 Legend2 Legend3 Legend1 Legend2 Legend3 Legend4 Legend5 ILLUSTRATIVE 1 Footnote Source: Source TRACKER Title Unit of measure Legend1 Legend2 Legend3 Legend4 Legend1 Legend2 Legend3 Legend1 Legend2 Legend3 Legend4 Legend5 ILLUSTRATIVE Source: Source | IBE project update | Confidential TRACKER Unit of measure Title Unit of measure Legend1 Legend2 Legend3 Legend4 Legend1 Legend2 Legend3 Legend1 Legend2 Legend3 Legend4 Legend5 ILLUSTRATIVE 1 Footnote Source: Source TRACKER Title Unit of measure Lege