Skov Paulsen Maja, Christensen Bo, Søndergaard Jens
Forskningsenheden for Almen Praksis i Odense, Institut for Sundhedstjenesteforskning, Syddansk Universitet, J.B. Winsløws Vej 9A, 5000 Odense C.
Ugeskr Laeger. 2013 Aug 26;175(35):1951-3.
Hypertension is an important risk factor for cardiovascular disease. In Denmark, patients with hypertension are primarily managed in primary care. A recent Cochrane review concluded that pharmacotherapy of patients with mild hypertension (systolic blood pressure 140-159 mmHg; diastolic blood pressure 90-99 mmHg; no diabetes or cardiovascular disease) did not reduce mortality or morbidity. The evidence for pharmacotherapy in patients having mild/uncomplicated hypertension is weak. However, current Danish guidelines have taken this into consideration in their recommendations of pharmacotherapy to patients with mild/uncomplicated hypertension.
高血压是心血管疾病的一个重要风险因素。在丹麦，高血压患者主要在初级保健机构接受治疗。最近一项Cochrane综述得出结论，轻度高血压患者（收缩压140 - 159 mmHg；舒张压90 - 99 mmHg；无糖尿病或心血管疾病）的药物治疗并不能降低死亡率或发病率。轻度/无并发症高血压患者药物治疗的证据不足。然而，丹麦现行指南在对轻度/无并发症高血压患者的药物治疗建议中已考虑到这一点。
