摘 要
糖尿病与高血压常合并存在，二者相互影响加重靶器官损害，增加心血管事件风险。本研究旨在探讨糖尿病合并高血压患者血压控制策略以改善预后。选取某院2018 - 2022年收治的300例糖尿病合并高血压患者为研究对象，依据不同血压控制方案分为三组，每组100例。A组采用常规降压治疗，B组在常规治疗基础上进行个体化精准血压管理（根据患者年龄、病程、并发症等因素调整用药），C组除个体化精准血压管理外还结合生活方式干预（饮食控制、运动指导等）。观察指标包括血压达标率、血糖水平、不良反应发生情况及心血管事件发生率。
关键词：糖尿病合并高血压；个体化精准血压管理；生活方式干预
Abstract
Diabetes mellitus and hypertension often combine, which influence each other to aggravate target organ damage and increase the risk of cardiovascular events. This study aimed to investigate the blood pressure control strategy to improve the prognosis in patients with diabetes and hypertension. A total of 300 patients with diabetes and hypertension admitted to a hospital from 2018 to 2022 were selected and divided into three groups according to different blood pressure control schemes, with 100 patients in each group. Group A was conventional antihypertensive treatment, and Group B was individualized precise blood pressure management based on conventional treatment (the medication was adjusted according to patient age, disease duration, complications and other factors). In addition to individualized precise blood pressure management, Group C also combined lifestyle intervention (diet control, exercise guidance, etc.). The observed indicators included blood pressure compliance rate, blood glucose level, adverse reactions and the incidence of cardiovascular events.
Keywords：Diabetes Mellitus With Hypertension；Individualized Precision Blood Pressure Management；Lifestyle Intervention
目 录
引 言 1
第一章 糖尿病合并高血压的流行病学特征 2
1.1 疾病共患现状分析 2
1.2 流行病学数据解读 2
1.3 高危因素探讨 3
第二章 血压控制目标与评估体系 5
2.1 血压控制目标设定 5
2.2 评估指标的选择 5
2.3 患者个体化评估 6
第三章 综合治疗策略与方案优化 8
3.1 药物治疗选择 8
3.2 生活方式干预措施 8
3.3 治疗依从性提升 9
第四章 长期管理与预后改善 11
4.1 随访管理体系构建 11
4.2 并发症预防策略 11
4.3 预后影响因素分析 12
结 论 14
参考文献 15
致 谢 16
糖尿病与高血压常合并存在，二者相互影响加重靶器官损害，增加心血管事件风险。本研究旨在探讨糖尿病合并高血压患者血压控制策略以改善预后。选取某院2018 - 2022年收治的300例糖尿病合并高血压患者为研究对象，依据不同血压控制方案分为三组，每组100例。A组采用常规降压治疗，B组在常规治疗基础上进行个体化精准血压管理（根据患者年龄、病程、并发症等因素调整用药），C组除个体化精准血压管理外还结合生活方式干预（饮食控制、运动指导等）。观察指标包括血压达标率、血糖水平、不良反应发生情况及心血管事件发生率。
关键词：糖尿病合并高血压；个体化精准血压管理；生活方式干预
Abstract
Diabetes mellitus and hypertension often combine, which influence each other to aggravate target organ damage and increase the risk of cardiovascular events. This study aimed to investigate the blood pressure control strategy to improve the prognosis in patients with diabetes and hypertension. A total of 300 patients with diabetes and hypertension admitted to a hospital from 2018 to 2022 were selected and divided into three groups according to different blood pressure control schemes, with 100 patients in each group. Group A was conventional antihypertensive treatment, and Group B was individualized precise blood pressure management based on conventional treatment (the medication was adjusted according to patient age, disease duration, complications and other factors). In addition to individualized precise blood pressure management, Group C also combined lifestyle intervention (diet control, exercise guidance, etc.). The observed indicators included blood pressure compliance rate, blood glucose level, adverse reactions and the incidence of cardiovascular events.
Keywords：Diabetes Mellitus With Hypertension；Individualized Precision Blood Pressure Management；Lifestyle Intervention
目 录
引 言 1
第一章 糖尿病合并高血压的流行病学特征 2
1.1 疾病共患现状分析 2
1.2 流行病学数据解读 2
1.3 高危因素探讨 3
第二章 血压控制目标与评估体系 5
2.1 血压控制目标设定 5
2.2 评估指标的选择 5
2.3 患者个体化评估 6
第三章 综合治疗策略与方案优化 8
3.1 药物治疗选择 8
3.2 生活方式干预措施 8
3.3 治疗依从性提升 9
第四章 长期管理与预后改善 11
4.1 随访管理体系构建 11
4.2 并发症预防策略 11
4.3 预后影响因素分析 12
结 论 14
参考文献 15
致 谢 16
