Patient number 200 million of hypertension of our country

Patient number 200 million of hypertension of our country
There are 200 million hypertension patients now in China, its brain apoplexy of complication, heart disease have already become the great public health problem. On the standardized management forum of national community's hypertension on the second held in Guangzhou on April 12, the gentle professor of the cardiovascular king of cardiovascular dept.(internal medicine) of disease hospital points out outside the mound, 2/3 of the patients need jointly treating at present, blood pressure could be up to standard of.The reporter knows from Professor Wang Wen's speech, its CHIEF (the integrated control of hypertension is studied) participated in It is the largest comprehensive clinical research project of hypertension up until now of China, the large-scale hypertension based on community launched at home for the first time at the same time is investigated and intervened, studied synthetically.
It is imperative to unite optimally
CHIEF adopt many centre, big sample, assess with calcium resisting pharmaceuticalling, stepping down healing solutioning jointly for optimization of foundation while being short of money shining on the intersection of bed and research approach at random in the world for the first time, also what launched at home for the first time accompanied jointly stepping down, adjusting the lipoprotein treatment and comprehensive prevention measure that intervenes of life style of the cardiovascular critically ill dangerous factor patient to hypertension.
In the the above-mentioned research, in stepping down and treating, whom patient take the intersection of ammonia and chlorine flat taking the place of the intersection of rice and the intersection of sand and smooth compound profit, Minogue of A. In the researcher to test normal cholesterol on the high side ' 4.0~6.1mmol/L) High to endanger at random with cutting down low dose of and hard by hing if you can't last lipoprotein, treat conventionally in the spit of fland the 10mg/ds ors, divided into and strengthened the life style to intervene and intervene the group conventionally at random according to whole group of community, intervene way, include give up smoking, the intersection of limit and salt, the intersection of limit and wine, reduce in weight, sport,etc..
Wen Wang emphasize good blood pressure it controls to be to reduce energies, run affairs key to one. It is introduced, " calcium resists pharmaceuticals (CCB) short of moneyly + angiotensin changes enzyme inhibitor (ACEI) + his spit of fland medicine is shared, it's time, unite healing solution, reveal, can reduce heart, the intersection of cerebrovascular diseases and incidence and mortality notably with the intersection of benzene and the intersection of sulfonic acid and the intersection of ammonia and chlorine for basic the intersection of depressurization and healing solution while being flat. " Wang be found is it initial ammonia chlorines low dose of Wen whether it is flat + for rice sand smooth /flat + diuretic treat jointly in ammonia chlorine, obviously lower the level of blood pressure of 8 weeks of a patient of hypertension, the controlling rate of blood pressure exceeds 70%.
In fact, in order to improve the low current situation of controlling rate of hypertension at present, the global scholars are all seeking to reduce the healing solution of the disease risk of cardiovascular vessel as well as.
In the European hypertension society last year (ESH) The 18th Meeting of science and International Society of Hypertension (ISH) At the 22nd Meeting of science, the expert points out, according to " guide of making a diagnosis of WHO/ISH hypertension to 2007 ", in order to make blood pressure up to standard, most patients usually need to use two or more medicines to jointly treat; For there is cardiovascular vessel disease that endangers or extremely high the patient who endangers the risk factor highing, for instance the intersection of companion and diabetes or nephropathy,etc., goal the intersection of blood pressure and value should less than or equal to 130/80mmHg. " ESH/ESC hypertension treats the guide in 2007 " to give a recommendation, obviously raise blood pressure, the goal blood pressure value should be less than or equal to the patient of 130/80mmHg, the initial treatment should be adopted and united the healing solution.
Preventing and curing should be based on health promotion
What merits attention is of our country knowing rate of hypertension it is only 30% at present, the treating rate is 25%, the controlling rate is 6%. And the above " Three rate " One of the lower reasons is that the patient does not know one's own blood pressure level; And the known hypertension patient use medicine according to feeling more.
As to this, Wen Wang propose, advance slow the intersection of disease and community to be comprehensive to defend pilot work, explore hypertension suit the national conditions interfere the mode from, can regard community as the platform, regard health education and health promotion as the basic means, manage, prevent and cure the mode with individual's hypertension patient for hypertension of community of the main measure.
"In our community, the hypertension prevention and control launches community's health education actively at first, improve community's hypertension patient and know rate and behavior changing rate, strengthen consciousness and result of patient's self- management, reduce the level of dangerous factor in the high-risk group. " The Hubei person in charge of community health Center of car city of a gulf district of Shiyan says, they have already set up one to examine and measure the system of blood pressure for the crowd over 35, and the purpose of this measure is to improve hypertension and sift checking and hypertension and examine the early proportion that manages early.
Point out Wen Wang hypertension management be wanted to community let's go on, divide in grades target of management into low to endanger by patient, in endanger by patient and not high to endanger by patient, no matter which rank patient, all set up the health file immediately, will intervene the health of the non- medicine immediately. "Follow up a case by regular visits to and observe low 6 months after endangering a patient, if blood pressure is greater than or equal to 140/90mmHg, namely start drug therapy; To in endanger by patient want observe by month on 3 pieces,blood pressure last 140/90mmHg, be should carry on by drug therapy immediatelied. " Wang Wen emphasizes, as to endangering a patient high, should carry on drug therapy immediately.
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