对比中美高血压指南对初诊高血压患者的诊治影响  

The impact of diagnosis and treatment for newly hypertensive patients according to ACC/AHA guideline and Chinese guideline for hypertension

作　　者：闻静[1] 华琦[2] 陈卫平[1] 王蔚华[1] WENJing;HUA Qi;CHEN Weiping;WANG Weihua(Department of Geriatrics,Beiiing Haidian Hospital,Beijing,100080,China;Department of Cardiology,Xuanwu Hospital,Capital Medical University)

机构地区：[1]北京市海淀医院老年内科,北京100080 [2]首都医科大学宣武医院心脏科

出　　处：《临床心血管病杂志》2018年第11期1136-1138,共3页Journal of Clinical Cardiology

摘　　要：目的:对比中美高血压指南诊断标准及治疗建议的不同对初诊高血压患者的诊治影响。方法:入选160例疑似高血压病受试者,根据中国和美国高血压指南诊断标准及危险因素进行风险评估,比较2种不同模型状态对患者诊治行为的影响。结果:根据中国高血压指南,70%的患者被诊断为高血压;而根据美国高血压指南,高血压患者的诊出比例为89.4%,与中国指南相比需要立即给予药物治疗的患者增加了36.5%。结论:根据美国高血压指南标准,我国高血压病的初诊患病率增加了19.4%,需立即药物干预的比例增加了36.5%,前移的诊断标准体现了早期干预的重要性。Objective：To determine the impact of diagnosis and treatment for newly hypertensive patients according to American College of Cardiology/American Heart Association Clinical Practice Guideline for Hypertension and Chinese guidelines for the management of hypertension.Method：160 suspected hypertensive patients were enrolled this study.The subjects were analyzed and compared the impact of diagnosis and treatment for newly hypertensive patients according to American College of Cardiology/American Heart Association Clinical Practice Guideline for Hypertension and Chinese guidelines for the management of hypertension.Result：70%subjects were to be diagnosed hypertension according to Chinese guideline and 89.4%subjects to be diagnosed hypertension according to American guideline.Compared to Chinese guideline,there were increasing 36.5% patients for immediate medicine treatment.Conclusion：Compared to American guideline,there were increasing 19.4% hypertensive patients and 36.5%for immediate medicine treatment.

关 键 词：高血压病 中国高血压防治指南 美国高血压指南 

分 类 号：R544.1[医药卫生—心血管疾病]