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哪种降压药副作用最小 杨滨 山西医科大学第二医院 所有的降压药物都有一定的副作用,副作用哪种最小是不能一概而论的。降压药分为五大种,每种降压药都有自己的独特的治疗作用,也有它的副反应,这种副反应有些患者可能会表现出来,在有些患者没有表现出来。没有表现出来的,其实对于患者来说就是一种比较理想的治疗药物,所以不能说哪种药物最小。假如要是最小,大家可能会选择这种降压药物。比如钙离子拮抗剂,是大家目前服用最广泛的,这种药物其实也有不良反应,比如会有心慌、面部潮红、脚踝部水肿,但是这类副反应有些患者会发生比例非常低的,在千分之三到千分之五左右,当然出现没有副反应的患者就是一种比较理想的降压药物,出现副反应,就可能需要换药了,比如ACEI类的药物也会有咳嗽,换用β受体阻滞剂,也会有心率慢的副作用,对于有哮喘的患者也是不适用的,所以每种药物都有独特的治疗作用,也有独特的副反应,对不同的患者,有不同的药物的选择。 Which antihypertensive has the least side effects All antihypertensive drugs have some side effects, Which side effect is the smallest can not be generalized. There are five kinds of antihypertensive drugs, Each antihypertensive drug has its own unique therapeutic effect, There are also side effects, Some patients may show this side effect, In some patients it doesn't show up. What didn't show, In fact, it is an ideal treatment drug for patients, So we can't say which drug is the smallest. If it's the smallest, You may choose this antihypertensive drug. For example, calcium antagonists, It's the most widely used, The drug actually has side effects, For example, there will be palpitation, facial flush, ankle edema, But some patients have very low incidence of these side effects, Between three and five thousandths, Of course, patients with no side effects are ideal antihypertensive drugs, Side effects, Maybe we need to change the medicine, For example, ACEI drugs also have coughs, Use beta blockers instead, There will also be side effects of slow heart rate, It is also not applicable to patients with asthma, So every drug has a unique therapeutic effect, There are also unique side effects, For different patients, There are different drug options.