接受降压治疗的绝经后妇女的可能胃肠道疾病因素

N. A. Konyshko, G. S. Konyshko
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引用次数: 0

摘要

55-64 岁年龄组妇女服用降压药后病情得到控制的比例达到 78.9%,在高血压治疗期间出现胃肠道症状的比例高达 62%。目的:分析绝经后接受降压治疗的患者出现胃肠道疾病症状的可能原因。材料和方法对斯摩棱斯克地区医疗机构门诊和住院的 50 至 84 岁高血压患者(AG 组,n=160)进行全面临床检查,平均年龄为 67.4 ± 17.4 岁。研究结果根据标准方法进行的综合检查和观察结果显示,被观察的患者极有可能患有胃食管反流病、胃炎、胃黏膜单纯性糜烂、胆道功能障碍、慢性胰腺炎、脂肪性肝病。结论绝经后妇女在接受降压治疗时,会出现严重程度不同的主要胃肠道症状,这些症状是在不规则用药的背景下,在营养不合理、心理情绪和身体压力的条件下产生的。根据对现代科学资料的分析,可以认为综合合理的降压、抗血小板、降脂、抗抑郁和根除疗法以及纠正可改变的危险因素,可确保在最佳时间内实现胃肠道和心血管疾病的缓解,提高患者的质量和预期寿命,改善疾病的预后。
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Probable gastrointestinal disease factors in postmenopausal age women receiving antihypertensive therapy
The frequency of achieving control as a result of taking antihypertensive drugs in women in the age group 55-64 years reaches 78.9%, the frequency of gastrointestinal symptoms occurring during treatment of hypertension is up to 62%. The aim: to analyze the probable causes of the development of symptoms of diseases of the gastrointestinal tract in postmenopausal patients receiving antihypertensive therapy. Material and methods. A comprehensive clinical examination of out-patient and in-patient patients of health care institutions of the Smolensk region with hypertension aged 50 to 84 years, (group AG, n=160) mean age 67.4 ± 17.4 years. Results. Complex examination and observation on the basis of standard methods with high probability shows the formation of gastroesophageal reflux disease, gastritis, simple erosions of the gastric mucosa, biliary dysfunction, chronic pancreatitis steatohepatosis in the observed patients. Conclusions: In postmenopausal women receiving antihypertensive therapy, there are major gastrointestinal symptoms of varying severity, arising in conditions of irrational nutrition, psycho-emotional and physical stress on the background of irregular medication. Based on the analysis of modern scientific sources, it can be argued that complex rational antihypertensive, antiplatelet, hypolipidemic, antisecretory and eradication therapy and the correction of modifiable risk factors ensures the achievement of remission of gastrointestinal and cardiovascular disease in the optimal time, improves the quality, life expectancy of patients and improves disease prognosis.
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