解读2004年《中国高血压防治指南》

2004年指南将正常血压定为<16.0/10.6 kPa(120/80 mmHg)。心血管危险因素及靶器官损害指标增加了低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、腹型肥胖(腰围)、C反应蛋白、微量白蛋白尿以及颈动脉壁内膜中层增厚(IMT≥0.9 mm)。指南确定高血压患者降压治疗目标是18. 6/12. 0 kPa(140/90 mmHg)以下,有糖尿病或肾病的高血压患者17.3/10.6 kPa(130/80 mmHg)以下,调整老年单纯收缩期高血压的降压目标值为20.0/12.0 kPa(150/90 mmHg)以下。

Interpretation of 2004 China Guidelines on Prevention and Management of High Blood Pressure

In 2004China guidelines, normal blood pressure is defined as less than 16.0/10.6 kPa(120/80 mmHg). Cardiovascular risk factors and target organ damages in patients with hypertension are determined by more indexes, such as low density lipoprotein cholesterol, high density lipoprotein cholesterol, intra-abdominal obesity (waist circumference), Creactive protein, microalbuminuria and increase of carotid intima-media thickness (IMT≥0.9 mm). In 2004 China guidelines, goal blood pressure is less than 18.6/12.0 kPa(140/90 mmHg), and in patients with diabetes mellitus or nephropathy it is 17.3/10.6 kPa(130/80 mmHg). In elderly patients with isolated systolic hypertension, the goal blood pressure is 20.0/12.0 kPa(150/90 mmHg) or lower.