我国拥有庞大的高血压人群,高血压是导致心脑血管事件的重要危险因素之一。近年相继出现的大规模临床试验结果以及高血压指南使以往的高血压控制原则和用药方案得以更新。现将以循证医学证据和更新的高血压指南为依据,对降压治疗的原则和趋势进行综述,为临床合理、有效降压提供依据。 Our country has a huge population of hypertension, hypertension is one of the important risk factors leading to cardiovascular and cerebrovascular events. In recent years, large-scale clinical trials have emerged as well as guidelines for hypertension so that the principles of hypertension control and medication programs to be updated. Based on evidence-based medical evidence and updated guidelines for hypertension, we will review the principles and trends of antihypertensive treatment and provide a basis for clinical reasonable and effective antihypertensive treatment.