基于中医脉象检测开展正常高值血压者心脑血管风险管理的思考  

Reflections on Cardiovascular and Cerebrovascular Risk Management in High-Normal Blood Pressure Individuals Based on Traditional Chinese Medicine Pulse Detection

作　　者：尧明慧 张梦楚 解天骁 王斯曼 王忆勤[1] 燕海霞[1] YAO Minghui;ZHANG Mengchu;XIE Tianxiao;WANG Siman;WANG Yiqin;YAN Haixia(Shanghai Key Laboratory of Health Identification and Assessment,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学上海市健康辨识与评估重点实验室,上海201203

出　　处：《世界科学技术-中医药现代化》2024年第10期2688-2694,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家自然科学基金委员会面上项目(81973749):基于中医脉象检测的原发性高血压患者不同心血管危险分层预警模型的构建与验证,负责人:燕海霞;国家自然科学基金委员会面上项目(81473594):基于血液动力学原理和方法的中医脉象分析与血管功能状态评价研究,负责人:燕海霞;上海市科委上海市科技计划项目(21DZ2271000):上海市健康辨识与评估重点实验室,负责人:王忆勤。

摘　　要：正常高值血压是我国心脑血管事件预防十分重要的窗口期,相较于正常血压阶段已经出现血管、心、肾、脑等靶器官的损伤,尽早诊治可降低正常高值血压者发生心脑血管风险。现代化中医脉诊研究手段日益成熟,已广泛运用于高血压、冠心病、脑卒中等心脑血管风险事件的筛查、诊断、预测、干预,并取得了显著的成果。通过检测中医脉象对应的压力脉图获得正常高值血压者血管功能状态、血管弹性等信息,从而实现对于正常高值血压者的心脑血管风险管理,具有很好的应用前景。本文就正常高值血压者心脑血管风险事件展开论述,并对中医脉诊在心脑血管风险事件管理中的应用进行梳理,进一步思考脉诊检测在正常高值血压者心脑血管风险事件管理中的应用价值,并提出相应风险管理策略。High normal blood pressure is a crucial period for preventing cardiovascular and cerebrovascular events in our country.Target organs such as blood vessels,heart,kidney and brain may already be damaged even at the stage of high normal blood pressure.Early diagnosis and treatment can reduce the risk of cardiovascular and cerebrovascular events in patients with high normal blood pressure.Modern research methods for TCM pulse-taking are increasingly mature and have been widely used in screening,diagnosing,predicting,and intervening in cardiovascular and cerebrovascular risk events,such as hypertension,coronary heart disease,and stroke,with remarkable results.By detecting the pressure pulse map corresponding to the pulse of traditional Chinese medicine,it is possible to obtain information on the blood vessel function and elasticity in patients with high normal blood pressure.This can aid in the management of cardiovascular and cerebrovascular risks in such patients.This paper discusses the management of cardiovascular and cerebrovascular risk events in patients with high normal blood pressure.It reviews the application of traditional Chinese medicine pulse diagnosis and considers its value in risk event management.The paper proposes corresponding risk management strategies.

关 键 词：中医脉象检测 正常高值血压 心脑血管风险管理 思考 

分 类 号：R241.19[医药卫生—中医诊断学]