降压治疗的策略和目标ppt课件.ppt

《降压治疗的策略和目标ppt课件.ppt》由会员上传分享，免费在线阅读，更多相关内容在教育资源-天天文库。

1、降压治疗策略与目标回顾与进展降压治疗策略研究的重点血压水平与心血管危险降压治疗与心血管危险控制治疗益处及来源(why)治疗对象(who)治疗目标水平(what)治疗方案(which)Lancet2002,360:1903血压、年龄与脑卒中死亡率(100万人群资料分析)Strokemortality(floatingabsoluteriskand95%CI)2561286432168421120140160180UsualsysytolicbloodPressure(mmHg)UsualdiastolicbloodPre

2、ssure(mmHg)2561286432168421708010011090Strokemortality(floatingabsoluteriskand95%CI)A:SystolicbloodpressureB:DiastolicbloodpressureAgeatrist:80-89Years70-79Yaes60-69years50-59YearsAgeatrist:80-89Years70-79Yaes60-69years50-59YearsIHDmortality(floatingabsoluterisk

3、and95%CI)2561286432168421120140160180UsualsysytolicbloodPressure(mmHg)UsualdiastolicbloodPressure(mmHg)2561286432168421708010011090IHDmortality(floatingabsoluteriskand95%CI)A:SystolicbloodpressureB:DiastolicbloodpressureAgeatrist:80-89Years70-79Yaes60-69years50-

4、59Years40-49yearsAgeatrist:80-89Years70-79Yaes60-69years50-59Years40-49yearsLancet2002,360:1903血压、年龄与冠心病死亡率(100万人群资料分析)CauseAgeatNumberofOfdeathrisk(years)deathsStroke40-494140.36(0.32-0.40)50-5913720.38(0.35-0.40)60-6929390.43(0.41-0.45)70-7943270.50(0.48-0.52)

5、80-8926360.67(0.63-0.71)IHD40-4913220.49(0.45-0.53)50-5955940.50(0.49-0.52)60-69104500.54(0.53-0.55)70-79108520.60(0.58-0.61)80-8956490.67(0.64-0.70)Other40-493860.43(0.38-0.48)vascular50-5913770.50(0.47-0.54)60-6925490.53(0.51-0.56)70-7932270.64(0.61-0.67)80-89

6、22510.70(0.65-0.75)0.250.350.50.71.0A:usualsystolicbloodpressure(115mmHg)Hazardratio(95%CI)for20mmHgLowerusualsystolicbloodpressureLancet2002,360:1903收缩压20mmHg差值对心血管危险影响CauseAgeatNumberofOfdeathrisk(years)deathsStroke40-493480.35(0.30-0.40)50-5912430.34(0.32-0.

7、37)60-6926460.40(0.38-0.42)70-7939150.48(0.45-0.51)80-8923400.63(0.58-0.69)IHD40-4911140.47(0.43-0.51)50-5949450.52(0.50-0.55)60-6992890.56(0.54-0.58)70-7997270.62(0.60-0.64)80-8950680.70(0.65-0.74)Other40-493160.43(0.37-0.50)vascular50-5911400.48(0.44-0.52)60-6

8、922200.49(0.46-0.53)70-7928530.61(0.57-0.66)80-8919760.71(0.64-0.79)0.250.350.50.71.0B:usualdiastolicbloodpressure(75mmHg)Hazardratio(95%CI)for10mmHgLowerusualdiasto