降压达标治疗中的个体化原则与优化治疗

为了提高高血压患者的降压达标率、最大程度地降低靶器官损伤,一方面应强化生活方式的改变,包括戒烟限酒、低盐饮食、减轻体重和适量运动,另一方面,由于原发性高血压的发病是由多种复杂因素的不同组合引起,应根据不同个体的高血压发病机制及病因的差异,在指南的指导下,应用不同种类抗高血压药物(单用或联合用药),采用针对个体的优化治疗,才能更有效地使降压治疗达标。

Optimization and Individualization in the Blood Pressure Lowering Management and Reaching Target Blood Pressure

In order to get more effective control of hypertension and reaching target blood pressure, on the one hand, intensive life style changes may be performed,including quiting smoking and drinking less, low salt diet, losing weight and suitable exercise. On the other hand, because the mechanisms and etiology of hypertension is complex and different from person to person, individualization of anti-hypertension drugs(single drug or combinative use of different drugs) and optimization of hypertension treatment are very necessary to reach the target blood pressure.