全科医生应了解原发性高血压亚型“纵向高血压”  

General Practitioners Should Understand the Subtype of Essential Hypertension"Longitudinal Hypertension"

作　　者：聂连涛 阮炳新 张芳芳[1] 井艳[1] 黄菊香[1] 闫琼文 周雨菡 李世锋[1] 李中健[1] NIE Liantao;RUAN Bingxin;ZHANG Fangfang;JING Yan;HUANG Juxiang;YAN Qiongwen;ZHOU Yuhan;LI Shifeng;LI Zhongjian(Department of Electrocardiography,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450014,China;Department of Electrocardiography,Nanning First People's Hospital,Nanning 530022,China)

机构地区：[1]郑州大学第二附属医院心电图科,河南省郑州市450014 [2]广西南宁市第一人民医院心电图科,530022

出　　处：《中国全科医学》2021年第11期1389-1393,共5页Chinese General Practice

摘　　要：临床工作和日常生活中,对于血压≥140/90 mm Hg(1 mm Hg=0.133 k Pa)导致的靶器官损害易引起人们重视,但对于血压<140/90 mm Hg引起的人体靶器官损害,人们常不重视,因此为完善高血压的创新理念和研究方向,本研究团队提出了"纵向高血压"。本文通过对"纵向高血压"的概念、诊断标准、优势、与横向高血压异同的介绍,发现横向高血压强调≥140/90 mm Hg"量"的改变,而"纵向高血压",除强调"量"的改变,更强调每个个体"质"的改变。因此,作为基层卫生守护人的全科医生应了解和掌握"纵向高血压"的本质、概念和诊治方法,同时本研究团队也期望能够与同道们共商和完善"纵向高血压"的存在及应用价值。In clinical work and daily life,target organ damage caused by blood pressure≥140/90 mm Hg(1 mm Hg=0.133 k Pa)usually attracts attention,but target organ damage caused by blood pressure<140/90 mm Hg will often be ignored.Therefore,in order to improve the innovative concept and research orientation of hypertension,the research team proposed"longitudinal hypertension".This article found that the transverse hypertension emphasizes the"quantity"change caused by blood pressure≥140/90 mm Hg,while the"longitudinal hypertension"emphasizes both"quantity"change and"quality"change of each individual through the introdution of the concept,diagnostic criteria and advantages of"longitudinal hypertension",similarities and differences between"longitudinal hypertension"and transverse hypertension.Therefore,as primary health caregivers,general practitioners should understand and master the essence,concept,diagnosis and treatment methods of"longitudinal hypertension".At the same time,the research team also hopes to discuss and improve the existence and application value of"longitudinal hypertension"with colleagues.

关 键 词：原发性高血压 横向高血压 纵向高血压 心电学 形态学 全科医生 

分 类 号：R544.1[医药卫生—心血管疾病]