胡大一:高血压**依叶片 实属荒谬至极

2018-02-14 胡大一 胡大一大夫

要讲中国高血压防控的正确道路,就是要坚定不移地落实降血压是硬道理。

近来,中国新闻周刊的一篇说事实、讲道理,又观点明朗正确的文章引起了一场轩然大波。凡不同意“H”型高血压,质疑天价“依叶片”的各界人士都被扣上一顶大帽子——“否定中国高血压防控的道路”。

已经有这么大的分歧,还去搞个共识声明。

要讲中国高血压防控的正确道路,就是要坚定不移地落实降血压是硬道理。提高全面对高血压的知晓率、治疗率与控制率。要用安全、降压有效,价格低廉或成本/效益合理的降压药物,把血压控制好。

现且不去进一步深究依叶如何用如此惊人短的时间完成的研发审批进医保的神奇“故事”的深层背景。

高血压首选依叶片,实属荒谬至极。依那普利降压效果一般,降压持续时间中效,而且在我国患者易产生干咳副作用。叶酸通过降同型半胱氨酸减少卒中的作用即使有,也十分微弱。叶酸的补充更多靠丰富多样的富含叶酸食物,许多种维生素中含的叶酸也足够用,不必花大价钱。把用依叶片作为中国高血压防控道路的标志,话说的太大了。随时间推移,大家一定会看到闹剧后面的一地鸡毛。

更值关注的是,在依叶后,又在上报氨叶(氨氯地平+叶酸),如果再来个缬叶(缬沙坦+叶酸),有个患者说最好生产“落叶”(洛丁新+叶酸)。

如果我国如此审批出一堆“一类新药”,那真是笑话与“杯具”!

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    2018-02-14 zltifn

    最近大牛在打架.还是要真实的循证医学说话.当医生不再以患者为中心的时候.就是堕落的开始!

    0

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    2018-02-14 wzb521zf

    一起学习学习

    0

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    2018-02-14 1ddf0692m34(暂无匿称)

    说的好.支持

    0

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