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降压治疗带来的益处是有目共睹的。对61个前瞻性、观察性研究的荟萃分析显示血压每次下降2 mmHg,脑卒中死亡风险降低10%,缺血性心脏病死亡风险降低7%。“降压是关键”的观念已经深入人心。但是血压下降的“幅度”(血压目标值是否越低越好?)、下降的“速度”(是否越快越好?)该如何把握?在临床工作中,只有把这两个“度”把握好,才能真正做到高质量降压,让高血压病人从降压治疗中更大获益。
The benefits of antihypertensive treatment are obvious to all. A meta-analysis of 61 prospective, observational studies showed a 2-mm Hg drop in blood pressure each time, a 10% reduction in the risk of death from stroke and a 7% reduction in the risk of death from ischemic heart disease. “Buck is the key ” concept has been deeply rooted. However, the decline in blood pressure “amplitude” (blood pressure target value is lower the better?), Decreased “speed ” (whether the faster the better?) How to grasp? In clinical work, only the two “Degree ” grasp well, can really achieve high-quality blood pressure, hypertension patients benefit from antihypertensive treatment.