提问
曾在论坛看到过这样一个病例:45 岁,女性患者。既往有高血压病史 3 年,最高血压 170/100 mmHg,长期口服卡托普利 50 mg 控制血压,血压控制在 130/80 mmHg。
1
NSAIDs可引起血压升高
2
NSAIDs与卡托普利合用
可引起血压升高
3
小剂量阿司匹林对血压无影响
4
临床遇到此种情形,如何处理?
参考文献:
[1] Antman EM, demetes D, Loscalzo J. Cyclooxygenase inhibition and cardiovascular risk [J] . Circulation, 2005,112(5) : 759.
[2] Cannon CP, PJ. COX-2 inhibitors and cardiovascular risk [J] . Science, 2012,336(6087) : 1386.
[3] Kalafutova S, Juraskova B, Vlcek J. The Impact of Combinations of Non Steroidal Anti-Inflammatory Drugs and Anti- Hypertensive Agents on Blood Pressure.[J]. Adv Clin Exp Med, 2014, 23(6):993. DOI: 10.17219/acem/37357.
[4] Wilson SL, Poulter NR. The effect of non-steroidal anti-inflammatory drugs and other commonly used non-narcotic analgesics on blood pressure level in adults.[J]. J Hypertens, 2006, 24(8):1457-69. DOI: 10.1097/01.hjh.0000239278.82196.a5.
[5] AHMETAJ-SHALA B, Kirkby, Knowles, R, et Al. . Evidence that links loss of oxygenase-2 with increased asymmetrical novel explanation of Cardiovascular Effects Associated with anti-inflammatory drugs [ j ] . Circulation, 2015,131(7) : 633.
[6] Ingrasciotta Y,Sultana J,Giorgianni F,et al.Association of indi- vidual non-steroidal anti-inflammatory drugs and chronic kidney disease: a population-based case control study [J] . PLoS One,2015,10( 4) : e0122899.
[7] 蔡青青, 沈赟等. 非甾体类抗炎药物与高血压风险的研究进展 [J] . 中国临床药学杂志,2016,25(5):329-332.
[8] Ruoff GE. The impact of nonsteroidal anti-inflammatory drugs on hypertension: alternative analgesics for patients at risk[J] Clin Ther, 1998,20(3):376-387.
[9] 钱之玉. 药理学(第三版)[M]. 中国医药科技出版社.
[10] Ana Catarina Costa,Marta Reina-Couto, et al.Aspirin and blood pressure: Effects when used alone or in combination with antihypertensive drugs[J] .Rev Port Cardiol,2017,36(7-8):551-567.
[11] 李志万, 石炜. 非甾体抗炎药物和抗血压药物联用对血压的影响 [J] . 海峡药学,2016,28(6):125-127.