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[高血压治疗中血压目标值是否应改变?]

[Should blood pressure goals be changed in hypertension treatment?].

作者信息

Camafort-Babkowski M

机构信息

Servicio de Medicina Interna, Unidad de Hipertensión y Riesgo Vascular, Servicio de Medicina Interna-ICMID, Hospital Clínic, Universidad de Barcelona, Barcelona, España.

出版信息

Hipertens Riesgo Vasc. 2017 Jan;34 Suppl 1:15-18. doi: 10.1016/S1889-1837(18)30058-8.

Abstract

Which have to be the most suitable goal for blood pressure has been an object of a debate since the publication of different guidelines of managing of arterial hypertension. Later to the publication of the last guides, the results of the SPRINT study have been known. SPRINT analyzes the differences in cardiovascular morbidity and mortality of different systolic blood pressure goals. The above mentioned study shows that a reduction to 121 mmHg in SBP is better than a SBP < 140 mmHg. Nevertheless, this study has included a low number of diabetic patients and a limited number of patients with cardiovascular disease, therefore, probably, the results are not applicable than to a limited number of hypertensive patients. In this article we analyze some of the available information with regard to this interesting aspect.

摘要

自不同的动脉高血压管理指南发布以来,血压最适宜的目标一直是一个争论的焦点。在上一版指南发布之后,SPRINT研究的结果为人所知。SPRINT分析了不同收缩压目标在心血管发病率和死亡率方面的差异。上述研究表明,将收缩压降至121 mmHg比收缩压<140 mmHg更好。然而,这项研究纳入的糖尿病患者数量较少,心血管疾病患者数量也有限,因此,其结果可能仅适用于少数高血压患者。在本文中,我们分析了关于这一有趣方面的一些现有信息。

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