解读2004年《中国高血压防治指南》

首都医科大学学报 ›› 2005, Vol. 26 ›› Issue (2): 147-150.

解读2004年《中国高血压防治指南》

华琦

1. 首都医科大学宣武医院心血管内科;2. 首都医科大学心脏病学系

收稿日期:2005-03-04 修回日期:1900-01-01 出版日期:2005-04-24 发布日期:2005-04-24

Interpretation of 2004 China Guidelines on Prevention and Management of High Blood Pressure

Hua Qi

1. Department of Cardiovascular, Xuanwu Hospital, Capital University of Medical Sciences;2. Department of Cardiology, Capital University of Medical Sciences

Received:2005-03-04 Revised:1900-01-01 Online:2005-04-24 Published:2005-04-24

摘要/Abstract

摘要：

2004年指南将正常血压定为<16.0/10.6kPa(120/80mmHg)。心血管危险因素及靶器官损害指标增加了低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、腹型肥胖(腰围)、C反应蛋白、微量白蛋白尿以及颈动脉壁内膜中层增厚(IMT≥0.9mm)。指南确定高血压患者降压治疗目标是18.6/12.0kPa(140/90mmHg)以下,有糖尿病或肾病的高血压患者17.3/10.6kPa(130/80mmHg)以下,调整老年单纯收缩期高血压的降压目标值为20.0/12.0kPa(150/90mmHg)以下。

Abstract:

In 2004China guidelines, normal blood pressure is defined as less than 16.0/10.6 kPa(120/80 mmHg). Cardiovascular risk factors and target organ damages in patients with hypertension are determined by more indexes, such as low density lipoprotein cholesterol, high density lipoprotein cholesterol, intra-abdominal obesity (waist circumference), Creactive protein, microalbuminuria and increase of carotid intima-media thickness (IMT≥0.9 mm). In 2004 China guidelines, goal blood pressure is less than 18.6/12.0 kPa(140/90 mmHg), and in patients with diabetes mellitus or nephropathy it is 17.3/10.6 kPa(130/80 mmHg). In elderly patients with isolated systolic hypertension, the goal blood pressure is 20.0/12.0 kPa(150/90 mmHg) or lower.

华琦. 解读2004年《中国高血压防治指南》[J]. 首都医科大学学报, 2005, 26(2): 147-150.

Hua Qi . Interpretation of 2004 China Guidelines on Prevention and Management of High Blood Pressure[J]. Journal of Capital Medical University, 2005, 26(2): 147-150.