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高血压是严重的心血管疾病状态,也是重要的心血管危险因素。降压治疗可有效降低心脑血管并发症的风险。为了管理数量巨大的高血压患者,必须坚持证据原则,根据临床试验证据确定降压治疗的目标血压,根据证据选择降压药物。但同时亟需建立高血压的分级管理体系,在完善继发性高血压、难治性高血压以及已有靶器官损害或心脑血管并发症的高血压的专科管理的同时,积极提倡并有效开展高血压在社区的全科管理以及在家庭的自我管理,最大限度地降低高血压的风险。
Hypertension is a severe cardiovascular condition and an important cardiovascular risk factor. Antihypertensive treatment can effectively reduce the risk of cardiovascular and cerebrovascular complications. In order to manage a large number of hypertensive patients, we must adhere to the principle of evidence, based on clinical trial evidence to determine the target blood pressure antihypertensive treatment, according to the evidence to choose antihypertensive drugs. However, at the same time, it is urgent to establish a hierarchical management system of hypertension. While improving the management of secondary hypertension, refractory hypertension and specialist management of hypertension with target organ damage or cardiovascular and cerebrovascular complications, it is actively advocated and effective Carry out general management of hypertension in the community and self-management at home to minimize the risk of high blood pressure.