基于国内外新版高血压指南探讨高血压前期存在的问题与思考  

Problems and Thoughts of Prehypertension Based on Domestic and Foreign Latest Guidelines for Hypertension

作　　者：赵睿学 王停 荆鲁[3] 王显[1,4,5,6,7] ZHAO Ruixue;WANG Ting;JING Lu;WANG Xian(Deparment of Cardiology,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China;Beijing Research Institute of Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China;Deparment of Internal Medicine,Eye Hospital China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]北京中医药大学东直门医院心内科,北京市100700 [2]北京中医药大学北京中医药研究院,北京市100029 [3]中国中医科学院眼科医院内科,北京市100040 [4]北京中医药大学东直门医院 [5]北京中医药大学心血管病研究所 [6]国家中医药管理局心脉病证益气活血重点研究室 [7]中华中医药学会介入心脏病学分会

出　　处：《实用心脑肺血管病杂志》2022年第1期1-5,共5页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：国家重点研发计划项目(2019YFC1710101)。

摘　　要：高血压是临床最常见的慢性病之一,也是心脑血管疾病的主要危险因素。为了早期预防高血压及降低心脑血管疾病发病率,2003年高血压前期概念被正式提出,其正好契合了中医"治未病"的观点,是将高血压的防治前移,由治疗为主转向以预防为主。笔者基于2017—2020年中国、美国、欧洲、日本相关学会及国际高血压学会(ISH)发布的新版高血压指南分析了高血压前期存在的问题:高血压前期的界定标准不统一、高血压前期的危害、高血压前期更加强调生活方式的干预,并阐述了目前存在的争议,旨在提高临床医生对高血压前期的认识,也为我国高血压前期的管理提供一定参考。Hypertension is one of the most common chronic diseases and the main important risk factor of cardiovascular and cerebrovascular diseases.In order to early prevent hypertension and reduce incidence rate of cardiovascular and cerebrovascular diseases,the concept of prehypertension was formally proposed in 2003,which coincided with the view of"preventive treatment of disease"in TCM,which shifted the prevention and treatment of hypertension forward from treatment to prevention.Based on new hypertension guidelines issued by relevant societies in China,the United States,Europe,Japan and the International Society of Hypertension(ISH)from 2017 to 2020,the author analyzes the problems existing in prehypertension:inconsistent definition standards of prehypertension,hazards of prehypertension,more emphasis on lifestyle intervention in prehypertension,and analyzes the current disputes,in order to improve the clinical doctors'understanding of prehypertension and provide some references for the management of prehypertension in China.

关 键 词：高血压前期 正常高值血压 指南 争议 

分 类 号：R544.1[医药卫生—心血管疾病]