继发性高血压的筛查与处理
Screening and management of secondary hypertension
郭艺芳 1刘凯旋1
作者信息
- 1. 河北省人民医院老年心血管内一科,河北 石家庄 050051
- 折叠
摘要
继发性高血压并不少见,但其诊断率一直处于较低水平.提高继发性高血压的早期诊断率对于降低高血压相关靶器官损害风险、提升我国高血压防治水平具有重要意义.中国大中型医疗机构,制约继发性高血压诊断率提升的主要因素并不是辅助检查检验手段,而是主动筛查的意识.加强临床医生的教育培训、制定针对继发性高血压的筛查流程有助于提高此类疾病的早期诊断率.对于发病年龄早、血压升高程度重、病情进展快、常规治疗措施效果不佳、合并广泛靶器官损害的高血压患者应常规进行继发性高血压的筛查.
Abstract
Secondary hypertension is not uncommon,but its diagnosis rate has been at a low level.Improving the early diagnosis rate of secondary hypertension is of great significance in reducing the risk of hypertension-related target organ damage and improving the level of hypertension prevention and treatment in China.In large and medium-sized medical institutions in China,the main factor limiting the improvement of the diagnosis rate of secondary hypertension is not the auxiliary examination or testing methods,but the awareness of active screening.Strengthening the education and training of clinicians and developing a screening process for secondary hypertension can help improve the early diagnosis rate of this disease.Screening for secondary hypertension should be routinely performed in hypertensive patients with early age of onset,severe elevation of blood pressure,rapid progression of disease,ineffectiveness of conventional therapeutic measures,and extensive target organ damage.
关键词
高血压/继发性高血压/降压药物Key words
hypertension/secondary hypertension/antihypertensive drugs引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据