J Clin Hypertens: 南昌学者发文称,广泛采取健康生活方式,可明显改善国人高血压防控效果

2020-02-09 朱朱 文韬 中国循环杂志

据最新的中国心血管病报告,我国大约有2.5亿成年人患高血压,知晓率、治疗率和控制率均较低。

据最新的中国心血管病报告,我国大约有2.5亿成年人患高血压,知晓率、治疗率和控制率均较低。
 
近期,南昌大学第二附属医院苏海等发表的一项研究显示,如果中国居民广泛采取健康生活方式,人群血压平均能降低10/5 mmHg的话,我国高血压患病率就会明显降低,同时知晓率、治疗率、控制率会得到显著提高。
 
该研究纳入1540名成年人,其平均年龄为13.7岁,其中312人吸烟,8.6%服用降压药物,平均血压为131.8/74.4 mm Hg。
 
根据≥140/90 mmHg的诊断标准,该人群中,33.4%患高血压;知晓率为74.2%,治疗率为25.8%,控制率为9.7%。
 
如果这些人平均血压降低10/5 mmHg,高血压患病率将降至22.1%(降幅33.8%),而治疗率和控制率将分别提高至39.1%和21.2%(增幅分别为51.6%和118.6%)。
 
相反,如果平均血压升高10/5 mmHg,高血压患病率将升至53.4%,治疗率和控制率将分别降至16.2%和9.7%~3.6%。
 
按照美国最新高血压指南定义的高血压诊断标准,研究者也得出了类似的结果。

之前美国有研究发现,人群舒张压降低2 mmHg,其作用要比舒张压>95 mmHg者降压的效果还好。
 
研究者指出,生活方式调节有显著降血压效果,包括限制食盐摄入、改善营养、坚持身体锻炼、加强心血管风险的临床管理,这可大幅降低血压。
 
比如,在芬兰,在实施计划以减盐、健康饮食和体力活动,并加强心血管风险的临床管理后,人群舒张压降低超过8 mmHg。
 
该研究支持采取措施来改善人群生活方式,同时要加强对高血压的临床管理。
 
原始出处:Wei‐guo Fan MD, Feng Xie MD, Yi‐rong Wan MD, et al. The impact of changes in population blood pressure on hypertension prevalence and control in China. J Clin Hypertens, 31 January 2020

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    2020-08-08 feather89
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    2020-02-10 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2039148, encodeId=e3d420391488f, content=<a href='/topic/show?id=b45d1e274e8' target=_blank style='color:#2F92EE;'>#TENS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17274, encryptionId=b45d1e274e8, topicName=TENS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b172500206, createdName=12498ebem19暂无昵称, createdTime=Wed Mar 11 20:26:00 CST 2020, time=2020-03-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1660919, encodeId=9bd81660919a3, content=<a href='/topic/show?id=a38b2e8752d' target=_blank style='color:#2F92EE;'>#健康生活#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27875, encryptionId=a38b2e8752d, topicName=健康生活)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=48dd25178476, createdName=xiaoyang_ambs, createdTime=Sat May 16 12:26:00 CST 2020, time=2020-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1728293, encodeId=942b1e28293ce, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sat Aug 08 12:26:00 CST 2020, time=2020-08-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1371978, encodeId=135713e19785d, content=<a href='/topic/show?id=ec702e877fb' target=_blank style='color:#2F92EE;'>#健康生活方式#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=27877, encryptionId=ec702e877fb, topicName=健康生活方式)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f612331, createdName=gds2009, createdTime=Tue Feb 11 13:26:00 CST 2020, time=2020-02-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1046989, encodeId=6281104698911, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Mon Feb 10 01:26:00 CST 2020, time=2020-02-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=379071, encodeId=e8ba3e907148, content=学习了很有用不錯, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Mon Feb 10 00:29:30 CST 2020, time=2020-02-10, status=1, ipAttribution=)]
    2020-02-10 飛歌

    学习了很有用不錯

    0

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