高血压住院儿童的病因学和药物治疗:一项回顾性研究
Chenhong Jia1, Weijing Ding1, Xiangyu Ding1
1Department of Pharmacy, Hebei Children's Hospital, Shijiazhuang, Hebei Province, China.
Journal of clinical hypertension (Greenwich, Conn.)
|November 4, 2024
概括
儿科高血压正在上升,脏和药物诱导的原因是常见的. 尼菲迪平是经常使用的,但需要进一步的研究,以确保有效的治疗和预防儿童器官损伤.
科学领域:
- 儿科 儿科 儿科
- 心脏病学 心脏病学
- 药理学 药理学是指药理学的学科.
背景情况:
- 儿科高血压的发病率越来越高,需要更好的治疗指南.
- 对儿童抗高血压药物的高质量数据有限,这阻碍了最佳的临床实践.
- 这项研究解决了基于证据的儿科高血压管理的需要.
研究的目的:
- 分析住院儿科高血压患者的临床数据.
- 为了确定常见的原因和处方的抗高血压药物.
- 评估治疗结果和确定儿科高血压中器官损伤.
主要方法:
- 从3年来对203名住院儿科患者的临床数据进行了回顾性分析.
- 纳入标准:高血压的诊断和用抗高血压药物的治疗.
- 收集了有关患者人口统计,高血压原因,药物,血压正常化和器官损伤的数据.
主要成果:
- 在65%的儿科患者中观察到高血压;确定了主要和次要原因.
- 脏 (35%) 和药物诱导 (19.2%) 的因素是导致二次高血压的主要原因.
- 尼菲迪平 (67.5%) 和卡普托普里尔 (41.4%) 是最常见的药物;54.7%的患者血压正常;23.2%的患者有器官损伤.
结论:
- 及时诊断和治疗对于预防儿科高血压中器官损伤至关重要.
- 虽然尼菲迪平是常见的,但它对儿童的长期适用性需要进一步研究.
- 对目标器官的密切监测和出院后的彻底随访对于儿科高血压管理至关重要.
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