绝经后高血压的再认识及中西医诊疗思考

Recognition of Postmenopausal Hypertension and Diagnosis and Treatment from Traditional Chinese and Western Medicine

高血压具有性别差异,绝经后女性高血压的发病率明显高于男性,且更难控制。女性绝经后高血压高发病率、低控制率的特点严重困扰着老年女性,影响其生活质量。西医针对高血压的性别差异进行了一系列基础及临床研究,针对绝经后女性提出了降压药物的选择方案,同时亦长期进行雌激素替代疗法的研究。中医对于绝经后高血压有其独到的认识及极具特色的治疗方案,有助于对发病趋势进行早期干预,这亦体现了中医“未病先防”和“已病防变”治疗大法。本研究就绝经后高血压的中西医认识及诊疗进行梳理,旨在对该病进行系统的归纳和总结,为临床治疗提供思路及参考。

There is sex difference in hypertension.The incidence of hypertension in postmenopausal women is significantly higher than that in men,and it is more difficult to control.The high incidence and low control rate of postmenopausal hypertension in women severely plague elderly women and affect their quality of life.There are a series of basic and clinical researches on the gender differences in hypertension in western medicine.In western medicine,the project of antihypertensive drugs for postmenopausal women had been recommended and long-term research on estrogen replacement therapy had been kept done for many years.Based on the theory"prevention before disease onset"and"preventing disease from exacerbating",traditional Chinese medicine(TCM)emphasizes early intervention on postmenopausal hypertension.This article aims to systematically summarize the theory about the diagnosis and treatment of postmenopausal hypertension from traditional Chinese and western medicine angle,and provide ideas and references for clinical treatment.