Blood Pressure Target in Type 2 Diabetes Mellitus.
Blood Pressure Target in Type 2 Diabetes Mellitus.
复制标题
2型糖尿病的血压目标。
DOI：
10.4093/dmj.2022.0215
复制
发表时间：
2022-09
影响因子：
5.9
通讯作者：
Kim KI
中科院分区：
文献类型：
--
作者：
Kim HJ;Kim KI
糖尿病的患病率在全球范围内持续增加，并且它是一个公认的心血管风险因素。高血压也是需要控制的重要心血管风险因素，在糖尿病患者中很常见。最佳血压（BP）目标一直是糖尿病患者高血压管理中争论的焦点。本文综述了2型糖尿病患者根据目标血压进行临床结局的随机对照试验和荟萃分析的详细结果。此外，总结并列出了不同指南推荐的糖尿病患者的目标血压。对于高血压合并糖尿病患者，建议目标血压<140/90 mm Hg，对于具有高危临床特征的糖尿病患者，血压应控制在<130/80 mm Hg。我们希望通过本文的综述，促进临床医生和患者对血压控制在糖尿病患者综合管理中的理解和适当应用，以帮助临床医生和患者。
The prevalence of diabetes mellitus continues to increase worldwide, and it is a well-established cardiovascular risk factor. Hypertension is also an important cardiovascular risk factor to be controlled and is common among patients with diabetes mellitus. Optimal blood pressure (BP) goals have been the subject of great debate in the management of hypertension among patients with diabetes mellitus. This review provides detailed results from randomized controlled trials and meta-analyses of clinical outcomes according to the target BP in patients with type 2 diabetes mellitus. In addition, the target BP in patients with diabetes mellitus recommended by different guidelines was summarized and presented. A target BP of <140/90 mm Hg is recommended for patients with hypertension and diabetes mellitus, and BP should be controlled to <130/80 mm Hg in patients with diabetes mellitus who have high-risk clinical features. We hope that this review will be helpful to clinicians and patients by promoting the understanding and appropriate application of BP control in the comprehensive management of patients with diabetes mellitus.