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原发性高血压为全球高发疾病,是各种心脑血管疾病的主要危险因素。积极有效地治疗高血压病人对于心脑血管疾病的防治至关重要。最新的高血压治疗策略特别强调根据诊所血压值、动态血压值、合并的心血管危险因素、靶器官损害、相关的心血管及肾脏疾病等评价病人的总危险。分为低危、中危、高危、极高危。治疗的首要目标是降低长期的心血管总危险。需要降压达标、控制所有心血管危险因素。血压至少需降至140/90mmHg以下,如果能够耐受可以进一步降低。对于糖尿病及其它高危、极高危病人血压应尽量降至130/80mmHg以下。主张及早考虑联合2种或多种降压药物。另外所有高血压病人均应积极评价是否有指征使用他汀类降脂药以及阿司匹林等抗血小板药物。
Essential hypertension is a global disease, and is a major risk factor for various cardiovascular and cerebrovascular diseases. Active and effective treatment of patients with hypertension for the prevention and treatment of cardiovascular and cerebrovascular diseases is essential. The latest strategy for treating hypertension specifically emphasizes the evaluation of patients’ overall risk based on clinic blood pressure, ambulatory blood pressure, combined cardiovascular risk factors, target organ damage, and associated cardiovascular and renal conditions. Divided into low-risk, medium-risk, high-risk, very high risk. The primary goal of treatment is to reduce long-term cardiovascular risk. Need to buck compliance, control of all cardiovascular risk factors. Blood pressure should be reduced to at least 140 / 90mmHg or less, if tolerated can be further reduced. For diabetes and other high-risk, very high-risk patients should try to drop blood pressure to 130 / 80mmHg below. Advocate early consideration of combining two or more antihypertensive drugs. In addition, all hypertensive patients should be positive evaluation of whether there are indications for the use of statins lipid-lowering drugs and aspirin and other anti-platelet drugs.