2024 泰国关于高血压治疗的指导方针
Sirisawat Kunanon1, Praew Kotruchin2, Pairoj Chattranukulchai3
1Division of Hypertension, Department of Medicine, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand sirisawat.wan@mahidol.ac.th.
Asian biomedicine : research, reviews and news
|February 23, 2026
概括
2024年泰国高血压指南引入了"风险高血压"类别 (130-139/80-89 mmHg),并提倡在办公室外测血压 (BP). 新的目标血压水平取决于年龄,大多数患者应该开始服用两种抗高血压药物.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 临床实践指南 临床实践指南
背景情况:
- 高血压管理需要根据全球证据和当地背景定期更新.
- 2024年泰国指南针对高血压治疗的新进展.
- 现有的指导方针需要根据泰国的具体医疗保健需求进行调整.
研究的目的:
- 提出更新的2024年泰国高血压治疗指南.
- 纳入高血压研究和临床实践的最新进展.
- 为泰国的医疗保健专业人员提供实际建议.
主要方法:
- 审查高血压知识的新发展.
- 专家对现实生活临床实践的共识.
- 来自全球临床研究的证据综合.
- 国际调查结果与泰国背景的调整.
主要成果:
- 维持办公室血压 (BP) 切割点为140/90 mmHg用于高血压诊断.
- 引入了一个新类别:"有风险的BP" (130-139/80-89 mmHg).
- 建议在诊断外进行血压测量 (HBPM,ABPM),以确认诊断.
- 定义的年龄取决于目标血压水平:120-130/70-79 mmHg (18-65岁) 和130-139/70-79 mmHg (>65岁).
- 建议大多数患者开始服用两种抗高血压药物 (ACE抑制剂,ARB,β-阻断剂,通道阻断剂,利尿剂),除了脆弱的老年人,初始低血压或低风险患者.
- 建议的组合药丸用于双重药物治疗.
- 强调了患者赋权和远程医疗/移动健康在高血压管理中的作用.
结论:
- 2024年泰国指南为高血压管理提供了更新的,特定于背景的建议.
- 重点是早期检测"BP有风险"类别和办公室外测量.
- 基于年龄和风险分层的个性化治疗目标.
- 组合疗法和患者赋权是改善结果的关键策略.
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