噻嗪类利尿剂
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事关高血压防治 基层医疗卫生机构这样做
Xin Hua She· 2025-10-01 04:25
Core Points - The National Health Commission has issued standards for hypertension management in primary healthcare institutions, detailing equipment, medication, management processes, and technical guidelines [1][2]. Equipment Configuration - All primary healthcare institutions must be equipped with upper-arm electronic sphygmomanometers, height and weight scales, and measuring tapes, with regular calibration of blood pressure monitors [1]. - Community health service centers and township hospitals should also have blood routine analyzers, urine routine analyzers, biochemical analyzers, and electrocardiograms [1]. Medication Assurance - Primary healthcare institutions are required to stock at least five categories of antihypertensive medications: ACE inhibitors, angiotensin II receptor blockers, dihydropyridine calcium channel blockers, thiazide diuretics, and beta-blockers [1]. Screening and Prevention - The standards specify screening for hypertension through routine consultations, health check-ups, and community screenings, with blood pressure measurements for adults aged 18 and above during their first outpatient visit each year [1]. - For diagnosed hypertension patients, personalized lifestyle guidance is recommended, including dietary adjustments (reducing sodium and increasing potassium), weight control, regular exercise, smoking cessation, alcohol moderation, stress reduction, and maintaining healthy sleep [1]. Lifestyle Intervention - Based on individual patient conditions, antihypertensive medications should be selected and adjusted to achieve stable blood pressure control within three months [2]. - Patients with other modifiable cardiovascular risk factors, such as high blood sugar and dyslipidemia, should also receive active treatment [2]. Implementation Timeline - The standards will be applicable to township hospitals, community health service centers, and village clinics for managing adult hypertension patients starting from March 1, 2026 [2].