糖尿病合并冠心病患者的血压控制研究进展  

Blood Pressure Control Among Patients with Diabetes and Coronary Heart Disease

作　　者：戚文威[1] 黄建凤[1] 

机构地区：[1]北京协和医学院中国医学科学院阜外心血管病医院,北京100037

出　　处：《心血管病学进展》2011年第6期778-781,共4页Advances in Cardiovascular Diseases

摘　　要：目前对于糖尿病合并冠心病这类高危人群的血压控制界值尚存争议,以往指南认为血压控制越低越好,但近期的临床试验表明在该高危人群中血压存在一种"J型曲线",如果血压控制过低,反而会使重要脏器的血流灌注受损,因此各国对指南相关内容做出或即将做出修订。现就糖尿病合并冠心病这类高危人群的特征及血压控制的相关进展进行阐述。The blood pressure threshold for patients with diabetes and coronary heart disease is a controversial point.Early guidelines suggested possible decreased risk with intensive control,whereas some more recent trials suggested possible increased risk for severe hypotension with more stringent control.Therefore the guidelines have been changed,or are to be changed in many countries.This paper summarizes recent developments in blood pressure management for patients with diabetes and coronary heart disease.

关 键 词：糖尿病 冠心病 血压控制 

分 类 号：R587.1[医药卫生—内分泌] R541.4[医药卫生—内科学]