2019专家共识：中国中青年人群高血压的管理

20192CVDSNS-RASCVD140/90mmHg130/80mmHgCVDRASIIBP140/90mmHgCVD201094017.8DALYs1.7DALYs7.024.6DALYs12.036665CVD10ASCVD120-139/80-89mmHg65%130-139/80-89mmHg35-5915140/90mmHg3.01312009-20106045-5918-4452.1%62.0%37.9%51.3%20.8%38.0%44.2%54.5%29.8%43.2%12.0%27.3%11.7%14.8%8.0%9.9%4.3%9.1%60???CVD?ABPMHBPM140/90mmHg130/80mmHg??/?SNSSNS4064SNS4023SNS-RAS158-IIRASSNSACEIIIARBRAS5.15.22011-201218-395240-593260362012-201518-4474.345-6456.745-6456.7%6549.05.3IDHISHDBPSBP5.4//68155580.445.97050CVD5.5HBPM6038.86046.15.65%-15%240PAARRACEI/ARBARR6.1ABPMHBPMABPMHBPMABPMHBPMHBPM6.2HMOD-5-1010556158542%-69%22%-41%18.42420%China-PARASCVD6.3HMOD23CVDCVD1CVDBP130/80mmHgBPCVDHMOD1abcdCVDeCVD117.1140/90mmHg130/80mmHg2018140/90mmHg130/80mmHg140/90mmHg130/80mmHg130/80mmHg7.2?6g/d?BMI24kg/m290cm85cm??25g/d15g/d?30min5-7?/7.3160/100mmHg1160/100mmHg23[CCBACEIARB]ACEI/ARB80/80/ACEI/ARB2-3ACEI/ARB+CCB/ACEI/ARB+ACEI/ARB+CCB+ACEI/ARB++CCBACEI/ARB++LaraghRV,49AB/CD5555ACEIs/ARBCCB/NICEASCOTCVD80/SNS1138.280/SNS80/RAS20ACEIRASCVDNICE55ACEIACEIARBACEIsARB160RASCVD[61-63]RASRASACEIARB59RASCCB/CCBARB65DBPIDH80/RASACEIARBCVDBP1-31CVD23CVD2-4CVDHMOD1CVDCVDCVDARRIVEASCENDASPREE75-100mg/d40-701LDL-C4555HDL-C1.0mmol/LASCVDLDL-C140/90mmHg130/80mmHg-RASRASACEI/ARBACEI/ARBACEI/ARB23ACEI/ARBCCBCCB;ACEI/ARBACEIARB