降压治疗的决策思考

尽管降压药物有了很大发展,高血压的控制率仍很低下。降压治疗中还存在包括医生和患者两方面的许多误区。目前已取得的共识是:降压治疗的益处主要来自血压控制。因此,非常重要的是要达到血压的有效和长期稳定的降低。根据患者的年龄、基线血压、伴随的临床状况等,因人而异地选择副作用小、降压效果好的药物,提高顺应性是改善高血压控制率的关键。

Decision-making of Hypertension Therapy

The control rate of hypertension is still low despite the development of anti-hypertension drugs. There are many misunderstandings in the therapy of hypertension, from both patients and physicians. The commen consensus is that the benefit of hypertension therapy is mainly derived from the lowering of blood pressure. So it is very important to reduce blood pressure effectively and permanently. The key point is to select drugs with minimal side effects and better efficacy according to the patient's age, baseline blood pressure and associated clinical status, and to improve the compliance of therapy.