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1.山东中医药大学 第一临床医学院,济南 250014
2.山东中医药大学 附属医院,济南 250011
Received:11 July 2025,
Revised:2025-08-20,
Accepted:05 November 2025,
Online First:11 November 2025,
Published:05 August 2026
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陈纪烨,滑振,朱羽硕等.难治性高血压中西医结合诊疗专家共识[J].中国实验方剂学杂志,2026,32(15):171-180.
CHEN Jiye,HUA Zhen,ZHU Yushuo,et al.Expert Consensus on Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Resistant Hypertension[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(15):171-180.
陈纪烨,滑振,朱羽硕等.难治性高血压中西医结合诊疗专家共识[J].中国实验方剂学杂志,2026,32(15):171-180. DOI: 10.13422/j.cnki.syfjx.20260393.
CHEN Jiye,HUA Zhen,ZHU Yushuo,et al.Expert Consensus on Integrated Traditional Chinese and Western Medicine Diagnosis and Treatment of Resistant Hypertension[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(15):171-180. DOI: 10.13422/j.cnki.syfjx.20260393.
难治性高血压(RH)是近年来医疗领域重点关注的一种心血管高危疾病,因血压难以控制、靶器官损害风险高,构成了公共健康的重大挑战,其管理已成为现代医学的难点之一。中西医结合治疗RH在改善血压、有效缓解患者症状、整体改善生活质量和长期预后等方面,展现出独特的综合优势和巨大的潜力,但存在中医辨证分型不统一、中医药如何与现代西医治疗方案有机结合等问题,尚未形成获得行业广泛公认的、可推广的临床专家共识。现行专家共识多聚焦于西药的循证应用,对中医药及非药物疗法的临床疗效评价涉及甚少,难以满足RH复杂病情的诊疗需求,导致临床实践中中西医结合治疗缺乏规范指导。为进一步规范并优化RH的中西医结合诊疗,提高我国RH的中西医诊治水平,为此特组织国内心血管领域中西医专家和方法学专家,经共识起草、专家访谈、证据综合等专家共识制定步骤,最终形成本共识。该共识包含12项临床问题,涵盖RH的证候类型、预防调护、中西医结合防治、非药物疗法等,突出“中医整体思维为指导,辨证论治为核心,西医精准干预为支撑”的特色,形成了适合我国RH人群的中西医结合诊治方案。这一共识有望推动我国RH中西医结合规范诊疗的创新,提升我国RH的整体防治水平,具有重大的临床意义和社会价值。
Resistant hypertension (RH) is a high-risk cardiovascular disease that has attracted considerable attention in recent years. Owing to the difficulty of blood pressure control and the high risk of target-organ damage, RH poses a major public health challenge and has become one of the key difficulties in modern medical management. Integrated traditional Chinese and Western medicine (TCM-WM) treatment has demonstrated unique comprehensive advantages and considerable potential in improving blood pressure control, effectively alleviating symptoms, and enhancing overall quality of life and long-term prognosis in patients with RH. However, several issues remain unresolved, including the lack of uniform criteria for TCM syndrome differentiation and classification and the challenge of effectively integrating TCM with modern WM treatment strategies. Consequently, a widely recognized and clinically applicable expert consensus has not yet been established. Existing expert consensuses mainly focus on the evidence-based use of Western medications, with limited attention given to the evaluation of the clinical efficacy of TCM and non-pharmacological therapies. As a result, they are unable to fully meet the diagnostic and therapeutic needs associated with the complex clinical manifestations of RH, leading to a lack of standardized guidance for integrated TCM-WM management in clinical practice. To further standardize and optimize the integrated diagnosis and treatment of RH and improve the overall level of TCM-WM management of RH in China, experts in cardiovascular medicine of TCM and WM, and methodology were organized nationwide to develop this consensus. Through a series of procedures, including consensus drafting, expert interviews, and evidence synthesis, the present consensus was formulated. This consensus addresses 12 clinical questions covering syndrome types, preventive care, integrated prevention and treatment strategies, and non-pharmacological therapies for RH. It highlights the characteristics of being 'guided by the holistic thinking of TCM, centered on syndrome differentiation and treatment, and supported by precise Western medical interventions', thereby establishing an integrated diagnosis and treatment strategy tailored to the Chinese RH population. This consensus is expected to promote innovation in the standardized integrated management of RH in China, improve the overall level of RH prevention and treatment, and provide significant clinical and social value.
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