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高血压病呈逐年上升趋势,其高发病率、高致残率、高死亡率以及低知晓率、低治疗率、低控制率,给社会和家庭造成沉重的负担。由于儿童血压发育有轨迹现象,成人高血压起源于儿童,高血压的预防和诊治也应从儿童开始。文章结合临床实践,对儿童高血压临床诊治中面临的问题进行探讨。其目的是提示中医在诊治儿童原发性高血压时辨证论治是基础,鉴别诊断是关键,个体化治疗是原则,中西医结合是方向。
Hypertension is increasing year by year. Its high morbidity, high morbidity, high mortality, low awareness rate, low treatment rate and low control rate place a heavy burden on society and families. Due to the development of children’s blood pressure track, adult high blood pressure originated in children, prevention and treatment of hypertension should also be from children. Combined with clinical practice, this article discusses the problems in clinical diagnosis and treatment of hypertension in children. Its purpose is to suggest that TCM is the basis for the diagnosis and treatment of essential hypertension in children. Differential diagnosis is the key. Individualized treatment is the principle. Integrative medicine is the direction.