文献类型：期刊文献

中文题名：从高血压指南及中医辨证论治看血压管理的重要性

英文题名：The Importance of Blood Pressure Management from the Hypertension Guidelines to Differentiation of TCM

作者：褚岩珺[1];刘志军[2]

第一作者：褚岩珺

机构：[1]山东中医药大学,山东济南250355;[2]甘肃中医学院,甘肃兰州730020

第一机构：山东中医药大学,山东济南250355

年份：2016

卷号：31

期号：2

起止页码：221

中文期刊名：中医学报

外文期刊名：Acta Chinese Medicine

收录：CSTPCD

语种：中文

中文关键词：高血压;血压管理;辨证论治

外文关键词：hypertension; blood pressure management; syndrome differentiation and treatment;

摘要：高血压指南更新的理念,注重血压管理模式与中医学的"辨证论治""整体观念"具有共同特征,突出体现了个体化的综合管理理念,从年龄、体质、生活环境、脏器损害、代谢变化等方面进行整体把握,针对不同人群采取不同的诊疗方案,更加注重高血压患者前期危险因素的控制,提倡通过改善生活方式来有效预防高血压的发生,恰如其分地体现出中医学"治未病"的防治学思想,将干预时间前移,提倡诊疗过程中"早干预、早治疗",从而降低高血压及其终点事件的发生率。在血压管理的全过程中关注个体化,实施辨证分型的诊疗方案,掌握高血压患者的个体规律,最终实现血压的综合管理。中医药对高血压症状及生活质量的改善较西药理想,鉴于西药的优势及中医药的特色,今后中医药治疗本病,不宜再过分强调对血压的控制,而应将侧重点逐渐转到改善症状、提高生活质量、预防和减少靶器官损害及防治并发症等方面。目前,我国高血压指南尚未将高血压的中医证候纳入,在中医证候的分类、分布特征、演变规律等方面重视不足,辨证分型标准尚未统一规范。因此,有必要针对上述不足之处对我国高血压指南进行补充和完善,以利于实现高血压患者的综合管理。
The renew idea of hypertension guidelines is paying attention to blood pressure management and TCM ＂ syndrome differentiation＂ and ＂ overall concept＂ has common characteristics,highlighting the individual comprehensive management philosophy,the whole grasp from the age,physical fitness,living environment,organ damage,metabolic changes and other aspects,taking different treatment programs for different groups of people and paying more attention to the control of hypertension in patients with risk factors,to promote effective prevention by improving the lifestyle of hypertension,to a proper extent reflect the ＂ preventive treatment of disease＂ thinking of prevention and treatment,the intervention time forward,promoting early intervention in the diagnosis and treatment,early treatment,so as to reduce the incidence of hypertension and its outcome. Pay attention to the individual in the whole process of the management of blood pressure in the treatment of implementation of syndrome differentiation,grasp the individual rule of hypertension,comprehensive management to achieve blood pressure. The improvement of traditional Chinese medicine on symptoms and quality of life of hypertension than western medicine and Western medicine in view of the ideal,the superiority and characteristic of Chinese medicine,Chinese medicine treatment of this disease in the future. Not too much emphasis on the control of blood pressure,but will focus gradually to improve symptoms,improve the quality of life,prevent and reduce target organ damage and prevent complications. At present,China has not yet to be incorporated into the guidelines for hypertension TCM syndromes of hypertension,the distribution characteristics of TCM syndromes in the classification,the evolution of attention etc. insufficient,no unified standard standard differentiation. Therefore,it is necessary to overcome the above deficiencies of Chinese hypertension guidelines to supplement and complete,in order to realize the comprehensive management in patients with hypertension.