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复习国际上高血压治疗原则及其进展的文献,并简要介绍高血压治疗最新原则。既往缺乏系统全面的高血压治疗核心原则(coreprinciples,CP),可能是我国高血压“三高三低”特点中控制率低的重要原因。总结我国高血压治疗的“全原则、无原则或部分原则”三个特点,指出今后高血压治疗应彻底消灭“无原则”治疗,提高“部分原则”、尤其是“全原则”治疗人群比例。我国高血压治疗策略经历“无原则→部分原则→全原则”的发展,已经从单纯降压治疗向多药物、多靶点、多途径综合治疗与预防并重发展,实现了五大转变。

英文摘要:

To briefly introduce the updated principles for treatment of hypertension by reviewing foreign literatures in point of this aspect and its progress. The strategies of hypertension treatment in our country experienced the development from "non-principles (NP)", "partial principles (PP)" to "full principles (FP)", and already realized five conversions, i.e. the conversion from simply depress the blood pressure to multi-drugs, multi-targets and multi-pathways comprehensive therapy, and put stress on both prevention and treatment. The authors emphasized that NP should be rejected completely, and population proportion of PP, especially FP used should be elevated in hypertension treatment in the future.

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