中国高血压防治指引2010-国家心血管病中心.PDF

．指南与共识． 中国高血压防治指南2010 中国高血压防治指南修订委员会 20lO Chine跎gllidenn姻蚤盯me咖a妒m 明t of hyperten商蚰 啪玩g G而印旷2们D蕊讯B靶毗Z池s ，研th M8陋gemen ￡可H ，pertem泌n Cbrr℃印，ldi，W 口眦hor ：ⅡU乜．sk昭，砌m豇：玩cM@ ”抽n cD舰饥 【Abst髓ct】 111e 2010 chinese gIlidelines for tlle management of hypenension is arI upd砒e of the previ伽s versions in 2005明d 1999 ．A guideline comIIlittee of nearJy 100 meIIlbers ap州nted by the ChineBe Hypertension kagIle (CHL)and the National Centre蠡Dr CarcIiov鹪cul盯D isea∞(NCCD)，in collabo豫ti∞ 诵tIl山e Chine8e societies 0f cccaaarrrdddjjjooolllooogggyyy，，，船船船ppphhhmmm llloooggg)))rrr，，，nnneee哪哪哪lllooogggyyy，，，ggg)))mmmeeecccooolllooogggyyy蛐蛐蛐ddd endoc—nolog)r，c∞Ve眦d∞ several occasions and discussed the guidelines， dd 曲曲eedd by a co咒w—tjng gmup ．The prevalence 0f hypenension h鹊been increasing in China for decades。and re跎hed l 8 ．8 ％in t}le ye盯2002．’11le豫tes “ awaren∞s，treatment and contm l fbr h)，penen8ion patients remain low compared to high income c叫n们es，in sp “e of substantial impmVements siIlce 1991． In some co栅unitie8， t}Ie contm l rate of hypenension incre鹪ed up to 60 ％．The mortality rate of stroke，which is tIle ⅡIajor complication of hyperten8ion in the Chinese population，gmdually decre鹊ed d谢ng the period，mo阳80 in urb觚aDe船t11卸in 11l试are鹊for the m iddle-aged帅d elderly populations；in the younger age gmups，however，it incre硝ed．As hypenension is a “cardiovascular syndrome”，the management BtTate鼢r should be b鹅ed on tIIe overall—sk of cardiovascular disease estimated稍th all related risk f如tors，target org舳damage and co-morbidit)r of patients．The target blood pressure is set at SBP ／DBP140 ／，90 mm Hg (1唧Hg=O ．133 kPa)in uncomplicmed hypertension ；150 ／90 mm Hgforthe elderly (≥65 ye哪)or，iftolerable，140 ／90 mm Hg；锄d 130 ／80 mm Hg for tIlose埘th diabetes，comnary heart dise鹊e or renal dise鹅e．For these h