中国全科医学 ›› 2025, Vol. 28 ›› Issue (24): 2968-2971.DOI: 10.12114/j.issn.1007-9572.2024.0672

• 指南·共识·述评 • 上一篇    下一篇

我国规范化管理高血压患者血压控制及影响因素研究的现状、挑战与未来展望

何金玉1,2, 朱丽都孜·解思思别克3, 张宁1,2, 刘民4,*(), 梁万年1,2,*()   

  1. 1.100084 北京市,清华大学万科公共卫生与健康学院
    2.100084 北京市,清华大学健康中国研究院
    3.999077 香港特别行政区,香港大学李嘉诚医学院公共卫生学院
    4.100084 北京市,北京大学公共卫生学院
  • 收稿日期:2025-01-27 修回日期:2025-04-28 出版日期:2025-08-20 发布日期:2025-06-23
  • 通讯作者: 刘民, 梁万年

  • 作者贡献:

    何金玉负责查阅文献、论文撰写与修改;朱丽都孜·解思思别克、张宁负责论文的质量控制和修改;刘民、梁万年负责论文指导与审校,对文章整体负责。

  • 基金资助:
    清华大学文科建设"双高"计划项目(2024TSG06402)

Research on Blood Pressure Control and Its Determinants Among Hypertensive Patients Under Standardized Management in China: Status, Challenges, and Future Directions

HE Jinyu1,2, ZHULIDUZI Jiesisibieke3, ZHANG Ning1,2, LIU Min4,*(), LIANG Wannian1,2,*()   

  1. 1. Vanke School of Public Health, Tsinghua University, Beijing 100084, China
    2. Institute for Healthy China, Tsinghua University, Beijing 100084, China
    3. School of Public Health, the University of Hong Kong Li Ka Shing Faculty of Medicine, Hong Kong 999077, China
    4. School of Public Health, Peking University, Beijing 100084, China
  • Received:2025-01-27 Revised:2025-04-28 Published:2025-08-20 Online:2025-06-23
  • Contact: LIU Min, LIANG Wannian

摘要: 高血压是常见的慢性疾病,患者人群基数大、血压控制率低,给个人和社会带来了沉重的经济负担,加强高血压患者健康管理是提升血压控制率的关键举措。尽管高血压规范化管理已在基层广泛推行,但现有研究表明,我国血压控制率依然偏低。本文梳理了我国公开发表的接受规范化管理的高血压患者血压控制效果及影响因素的相关研究,并分析了现有研究中存在的问题,发现我国接受规范化管理的高血压患者血压控制效果及影响因素研究较少,且存在高质量研究较少、影响因素研究的维度局限、血压值的选取及长期血压控制评价方式不统一以及血压的达标判定并未与国际指南接轨等局限。本文对未来的研究提出了相关建议,包括统一血压控制的评判标准,增加对规范化管理患者的研究;拓展研究视角,深入探讨多层面因素对血压控制的影响;借助大数据和人工智能技术,推动高血压患者精准化管理的研究等。

关键词: 高血压, 规范化管理, 影响因素, 血压控制率, 述评

Abstract:

Hypertension is a prevalent chronic condition with a sizable patient population and suboptimal blood pressure control rates, resulting in a substantial economic burden on individuals and society. Strengthening health management strategies for hypertensive patients is a crucial intervention to improve blood pressure control. Although standardized hypertension management has been widely implemented in primary care settings, existing studies indicate that blood pressure control rates in China remain unsatisfactory. This paper examines research did in China on the effectiveness of blood pressure control and the factors influencing it among hypertensive patients receiving standardized management. Several limitations in the current body of research are identified, including a paucity of high-quality studies, narrow research scope in terms of influencing factors, inconsistent selection of blood pressure metrics, varied approaches to evaluating long-term blood pressure management, and non-alignment of target blood pressure definitions with international guidelines. The paper proposes future research recommendations, such as standardizing blood pressure control criteria, expanding the study of patients under standardized management, broadening research perspectives to explore the impact of multilevel determinants on blood pressure control, and leveraging big data and artificial intelligence technologies to advance precision management for hypertensive patients.

Key words: Hypertension, Standardized management, Influencing factors, Blood pressure control rate, Editorial

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