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Lancet:血管内超声肾神经切除术用于高血压治疗

2018-05-24 zhangfan MedSci原创

研究发现,血管内超声肾神经切除术可显著降低合并收缩期舒张期高血压患者血压,患者不需额外的药物治疗

先前研究证实肾射频消融去神经治疗可以降低中度高血压患者的血压。近日研究人员考察了血管内超声肾神经切除术对高血压患者的治疗效果。

RADIANCE-HTN SOLO研究在美国和欧洲39个临床中心开展,18岁以上的合并收缩期-舒张期高血压患者参与研究,患者血压135/85 mm Hg以上,药物治疗停止后4周血压170/105 mm Hg以下,符合肾动脉手术标准。患者随机接受肾神经切除术或模拟手术,研究的主要终点为2个月日间动态收缩压的变化。

146名患者参与研究,其中手术组74人,模拟组72人。手术后患者日间动态收缩压降低显著(8.5 vs 2.2 mmHg),未发生严重的不良事件。

研究发现,血管内超声肾神经切除术可显著降低合并收缩期舒张期高血压患者血压,患者不需额外的药物治疗。

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    2018-05-26 howi
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    2018-05-31 半夏微凉

    学习了谢谢分享

    0

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    2018-05-27 大爰

    学习了谢谢分享学习!

    0

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    2018-05-25 cscdliu

    学习了.谢谢

    0

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