2型糖尿病血压管理与慢性并发症  

Blood pressure management and chronic complications in type 2 diabetes

作　　者：张骏恒 王斯宇 蔡乐 谢婉婷 顾昊清 杨芊芊 张晓云 徐晓丽 赵璇 徐瑜[2] 成杰[4] Zhang Junheng;Wang Siyu;Cai Le;Xie Wanting;Gu Haoqing;Yang Qianqian;Zhang Xiaoyun;Xu Xiaoli;Zhao Xuan;Xu Yu;Cheng Jie(College of Health Science and Technology,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Department of Endocrine and Metabolic Diseases,Shanghai Institute of Endocrine and Metabolic Diseases,National Clinical Research Center for Metabolic Diseases(Shanghai),Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;College of Public Health,Shanghai Jiao Tong University,Shanghai 200025,China;Department of Medical Education,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海交通大学医学院医学技术学院,上海200025 [2]上海交通大学医学院附属瑞金医院内分泌代谢病科,上海市内分泌代谢病研究所,国家代谢性疾病临床医学研究中心,上海200025 [3]上海交通大学公共卫生学院,上海200025 [4]上海交通大学医学院附属瑞金医院医学教育处,上海200025

出　　处：《中华内分泌代谢杂志》2024年第8期710-715,共6页Chinese Journal of Endocrinology and Metabolism

基　　金：上海市卫生健康委员会科研课题计划(201940042);上海市大学生创新创业训练计划项目(S202410248519)。

摘　　要：2型糖尿病合并高血压显著增加心血管、肾脏等慢性并发症发生风险,适宜血压管理对于防治2型糖尿病并发症具有重要意义。本文重点回顾了2型糖尿病血压管理相关临床研究证据与临床实践指南规范,总结探讨2型糖尿病患者高血压起始治疗时机、降压治疗目标、一线降压药物及随访监测计划。Hypertension heightens the risk of cardiovascular and renal complications in individuals with type 2 diabetes mellitus.Optimal blood pressure(BP)management is crucial for preventing these complications.This review consolidates evidence from clinical trials and major BP management guidelines to shed light on key aspects of hypertension management in diabetes.It addresses BP thresholds to initiate antihypertensive treatment,optimal BP control targets,recommended first-line antihypertensive edications,and BP monitoring plan for the prevention of chronic complications in type 2 diabetes.

关 键 词：糖尿病 2型 高血压 慢性并发症 

分 类 号：R587.2[医药卫生—内分泌]