《中国成人2型糖尿病合并高血压管理专家共识》
Chinese expert consensus on the management of hypertension in adults with type 2 diabetes.
作者信息
Pan Xiaohui, He Hongbo, Bao Yuqian, Bi Yan, Chen Luyuan, Chen Xiaoping, Fang Hui, Feng Wenhuan, Gao Ling, Guo Lixin, Guo Yifang, Han Yaling, Hua Qi, Li Nanfang, Li Quanmin, Li Yan, Li Yong, Li Xialian, Liu Jing, Ma Huijuan, Mu Jianjun, Nong Kailei, Shang Huiqian, Shen Yunfeng, Shi Zhongwei, Sun Fang, Sun Ningling, Tao Jun, Wang Jiguang, Wang Xinling, Wu Jing, Xiao Xinhua, Xie Liangdi, Xu Jing, Xu Jing, Ye Hongying, Yu Dongni, Yuan Hong, Zhang Huijie, Zhang Jian, Zhang Lili, Zhang Yuqing, Zhou Jiaqiang, Zhou Xinli, Zhu Dalong, Zhu Tiehong, Li Sheyu, Zhu Zhiming
机构信息
Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China.
Department of Hypertension and Endocrinology, Army Medical University, Chongqing, China.
出版信息
J Evid Based Med. 2024 Dec;17(4):851-864. doi: 10.1111/jebm.12655. Epub 2024 Nov 12.
Both hypertension and type 2 diabetes are attributable to premature death, cardiovascular and kidney diseases with largely overlapping population. Followed the GRADE approach, this expert consensus aimed to reduce the cardiovascular and kidney death and disability due to hypertension and minimize the treatment burden in adults with type 2 diabetes. Through online survey and discussion, a multidisciplinary team comprehensively prioritized seven key guideline questions. Informed by the evidence synthesis and online discussion, the team developed 12 recommendations under the GRADE Evidence-to-decision (EtD) framework. The recommendations covered the screening of hypertension in adults diagnosed with type 2 diabetes but not hypertension and the monitoring, lifestyle interventions, and medications in those diagnosed with type 2 diabetes and hypertension.
高血压和2型糖尿病都会导致过早死亡、心血管疾病和肾脏疾病，在很大程度上影响的是同一类人群。遵循推荐分级的评估、制定和评价（GRADE）方法，本专家共识旨在降低高血压导致的心血管和肾脏死亡及残疾，并尽量减轻2型糖尿病成人患者的治疗负担。通过在线调查和讨论，一个多学科团队综合确定了七个关键指南问题的优先级。在证据综合和在线讨论的基础上，该团队在GRADE证据到决策（EtD）框架下制定了12条建议。这些建议涵盖了对已诊断为2型糖尿病但未患高血压的成年人进行高血压筛查，以及对已诊断为2型糖尿病和高血压的患者进行监测、生活方式干预和药物治疗。
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