动脉粥样硬化性肾动脉狭窄高血压的研究进展  

Research progress of atherosclerotic renal artery stenosis hypertension

作　　者：杨坤[1] 张桂霞[2] YANG Kun;ZHANG Guixia(Mudanjiang Medical College,Mudanjiang Heilongjiang 157000;Department of Cardiovascular Medicine,Jiamusi Central Hospital,Jiamusi Heilongjiang 154000,China)

机构地区：[1]牡丹江医学院,黑龙江牡丹江157000 [2]佳木斯市中心医院心内科,黑龙江佳木斯154000

出　　处：《实用心电学杂志》2024年第2期175-180,185,共7页Journal of Practical Electrocardiology

基　　金：黑龙江省卫生健康委科研课题(2020-365)。

摘　　要：在心血管病临床实践中发现,肾动脉狭窄(renal artery stenosis,RAS)患者越来越多。RAS是引起高血压和(或)肾功能不全的重要原因,其主要病因是动脉粥样硬化。在我国,随着人口老龄化,在冠心病和外周血管疾病患者中动脉粥样硬化性肾动脉狭窄(atherosclerotic renal artery stenosis,ARAS)患者不断增多,而ARAS又是继发性高血压的重要病因之一。如果ARAS在临床上能够早期发现并得到纠正、诊治和有效干预,则对患者控制血压和提高生活质量有积极意义。本文从ARAS流行病学、ARAS与高血压的关系、ARAS诊断线索、检查方法及治疗等方面进行阐述。More and more patients with renal artery stenosis(RAS)have been found in the clinical practice of cardiovascular disease.RAS is an important cause of hypertension and(or)renal insufficiency,and its main cause is atherosclerosis.In China,with aging of population,among the patients with coronary artery disease and peripheral vascular disease,those with atherosclerotic renal artery stenosis(ARAS)have been constantly increasing.ARAS is one of the important causes of secondary hypertension.If ARAS patients can be found in an early phase,and made correction,diagnosis,treatment and effective intervention,it will be of positive significance for them to control blood pressure and improve the quality of life.This review focuses on the epidemiology for ARAS,the relationship between ARAS and hypertension,the diagnostic clues for ARAS,and its examination methods and treatment.

关 键 词：动脉粥样硬化性肾动脉狭窄 继发性高血压 流行病学 血运重建术 药物治疗 

分 类 号：R544.14[医药卫生—心血管疾病]