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社区高血压治疗进展

The Develop of Hypertension Therapy in Community
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摘要 非药物治疗措施适合于各型高血压,可使血压有一定程度的下降。药物治疗的原则是:"最低有效剂量、长效、联合、终身",1999年WHO/ISH提出6类可作为初始治疗的一线抗高血压药物,即利尿剂、B受体阻滞剂、钙通道阻滞剂、血管紧张素转换酶抑制剂、血管紧张素II受体拮抗剂、a受体阻滞剂。但高血压患者往往重视药物控制高血压,而忽略非药物治疗[1]。这需要基层医务工作者在社区健康教育中加以宣传、引导,包括强调合理膳食、限制钠盐、减轻体重、适量运动、保持健康心态[2]。
作者 王蓓
机构地区 上海市闵行区莘庄社区卫生服务中心
出处 《科技信息》 2009年第27期355-355,382,共2页 Science & Technology Information
关键词 高血压hypertension 非药物治疗nonmedication 药物治疗medication
分类号 TQ460.4 [化学工程—制药化工] Q555 [生物学—生物化学]
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  • 1[2]Authors/Task Force Members:2007 Guidelines for the Management of Arterial Hypertension.The Task Force for the Management of Arterial Hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology(ESC) J Hypertension,2007,25:1105-1187
  • 2[3]The ALLHAT officers and Coordinators for the ALLHAT Collaborative Research Group.Major outcomes in high-risk hypertensive patients randomized to angiotensin converting enzyme inhibitor or diuretic:The Antihypertensive and Lipid-Lowering treatment to prevent Heart Attack Trial (ALLHAT).JAMA,2002,288:2981-2997
  • 3[4]Franz HM,Staessen JA.Amlodipine Better Than Lisinopril?:How One Randomized Clinical Trial Ended Fallacies From Observational Studies.Hypertension,2006,48:359-361
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  • 8[9]Wachtell K,Lehto M,Gerdts E,et al.Angiotensin Ⅱ receptor blockade reduces new-onset atrial fibrillation and subsequent stroke compared to atenolol:the Losartan Intervention For End Point Reduction in Hypertension (LIFE) study.J Am Coll Cardiol,2005,45:712-719
  • 9[10]Maggioni AP,Latini R,Carson PE,et al.Valsartan reduces the incidence of atrial fibrillation in patients with heart failure:results from the Valsartan Heart Failure Trial (Val-HeFT).Am Heart J,2005,149:548-557
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科技信息
2009年 第27期

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