成人高血压合并2型糖尿病和血脂异常基层防治中国专家共识(2024年版)  

Chinese Expert Consensus on Grassroots Prevention and Treatment of Hypertension Combined with Type 2 Diabetes Mellitus and Dyslipidemia in Adults 2024

作　　者：北京高血压防治协会 中国老年学和老年医学学会 北京市社区卫生协会 北京社区健康促进会 李杰[2] 王红 姜岳 Beijing Hypertension Association;China Association of Gerontology and Geriatrics;Beijing Community Health Service Association;Beijing Community Health Promotion Association;LI Jie;WANG Hong;JIANG Yue(不详;Beijing Friendship Hospital,Capital Medical University;Chaoyangmen Community Health Service Center of Dongcheng District,Beijing;Department of General Practice,the First Hospital of Tsinghua University)

机构地区：[1]不详 [2]首都医科大学附属北京友谊医院 [3]北京市东城区朝阳门社区卫生服务中心 [4]清华大学第一附属医院全科医学科

出　　处：《中国全科医学》2024年第28期3453-3475,3482,共24页Chinese General Practice

基　　金：首都卫生发展全科医学与社区卫生科研专项(2023-2S-008)。

摘　　要：高血压、2型糖尿病、血脂异常被统称为“三高”,常同时存在于同一个体中,显著增加了患者的住院和死亡风险,以及相关疾病负担。因此,有必要对三者进行共同风险管理和规范治疗。基层医疗卫生机构是慢性病防治的“主战场”,现有临床证据对“三高”人群的基层预防、治疗及管理具有重要启示,但目前国内外尚无适用于基层的“三高”共管规范、共识和指南。北京高血压防治协会等4家学/协会组织基层医务人员,并邀请心血管、内分泌、药学及公共卫生等诸多领域专家/学者共同参与,广泛征询基层医务人员临床实践需求,在整合与评价“三高”基层防治相关证据的基础上,经过多轮讨论、修订与投票表决,形成了包含21条推荐意见的“三高”基层防治专家共识。本共识的推荐意见旨在提高基层医务人员的“三高”防治意识和能力,为基层医疗卫生机构开展“三高”防治提供科学的策略支持,为实施具有基层特色的“三高”共管奠定坚实基础。Hypertension,type 2 diabetes mellitus(T2DM),and dyslipidemia are collectively referred to as the"three highs",which often coexist in the same individual.It significantly increases the risk of hospitalization,death,and relevant burdens for affected people.It is necessary to jointly control the risk and standardize the treatment of hypertension,T2DM and dyslipidemia.Primary healthcare institutions have become the main battlefield for the prevention and treatment of chronic diseases.Existing clinical evidence provides important insights into the prevention,treatment,and management of the"three highs",although norms,consensus,and guidelines for the co-management of the"three highs"in primary healthcare institutions at domestic and foreign are current not available.Four academic organizations led by Beijing Hypertension Association organized primary healthcare workers and invited experts and scholars from medical fields of cardiovascular diseases,endocrine,pharmacy,and public health services to participate in the consensus.Through widely soliciting clinical practice needs of primary healthcare workers,integrating and evaluating the evidence related to the prevention and treatment of the"three highs"in primary healthcare institutions,the consensus for primary healthcare in the prevention and treatment of the"three highs"including 21 opinions was developed after multiple rounds of discussions,revisions,and voting.The recommended opinions of this consensus aim to improve the awareness and ability of primary healthcare workers in the prevention and treatment of the"three highs",provide scientific strategic support,implement management with primary healthcare characteristics,and lay a solid foundation for comorbidity co-management.

关 键 词：高血压 糖尿病 2型 血脂异常 慢性病共病 “三高”防治 初级卫生保健 专家共识 

分 类 号：R544.1[医药卫生—心血管疾病] R587.1[医药卫生—内科学] R589[医药卫生—临床医学]