代谢手术治疗高血压

来源 :第十一届中国心脑医学大会 | 被引量 : 0次 | 上传用户:oldfan48
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代谢手术或减重手术起初是外科医生设计用来减轻体质量的方法,后来逐渐发现这类手术能显著改善糖脂代谢状况.近年来多项临床和基础研究证实,代谢手术还能显著降低血压,同时改善高血压相关多种心血管危险因素,是综合治疗高血压的有效方法.其降压作用机制可能与减轻体质量、降低瘦素和心率、增强排钠利尿、增加胰岛素敏感性、改善血管功能、影响胃肠道激素等有关.今后需进一步明确的问题是代谢手术改善或治愈高血压和代谢病的机制,探讨手术的适应征.内外科应加强协作,共同推进高血压的代谢手术治疗,为顽固性高血压的治疗提供新的措施.
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