背景與目的 我國(guó)人群高血壓患病率呈上升趨勢(shì)，但血壓控制率很低。為優(yōu)化高血壓治療方案，提高血壓達(dá)標(biāo)率，減少心腦血管事件，由劉力生教授任主席的中國(guó)高血壓綜合研究協(xié)作組特制定了以下中國(guó)高血壓綜合干預(yù)研究方案。
對(duì)象與方法 符合以下4項(xiàng)者進(jìn)入試驗(yàn)：原發(fā)性高血壓，年齡50～79歲，至少伴有一項(xiàng)心血管病危險(xiǎn)因素，知情同意。采用多中心隨機(jī)對(duì)照盲終點(diǎn)評(píng)估臨床試驗(yàn)方法，12?000例患者被隨機(jī)分為初始小劑量氨氯地平+替米沙坦組或小劑量氨氯地平+利尿劑組；對(duì)其中血總膽固醇4.0～6.1 mmol/L者隨機(jī)分為小劑量他汀組或常規(guī)處理組；按社區(qū)隨機(jī)分為強(qiáng)化生活方式干預(yù)區(qū)或常規(guī)干預(yù)區(qū)。研究主要終點(diǎn)是非致命性卒中/心梗、心血管性死亡復(fù)合事件。定期隨訪，計(jì)劃隨訪4年。
預(yù)期結(jié)果 累積主要終點(diǎn)事件500例，血壓控制率達(dá)到70％，優(yōu)化治療組降低心血管事件20％，明顯改善不良生活方式。全國(guó)150家協(xié)作醫(yī)院共同研究，預(yù)計(jì)2011年完成試驗(yàn)。
引用本文： 王文,馬麗媛,張宇清,鄧卿,劉明波,劉力生,代表CHIEF研究協(xié)作組. 中國(guó)高血壓綜合干預(yù)研究方案——起始聯(lián)合降壓、適度調(diào)脂和生活方式綜合干預(yù)的全國(guó)多中心隨機(jī)對(duì)照試驗(yàn). 中國(guó)循證醫(yī)學(xué)雜志, 2007, 07(11): 810-815. doi: 復(fù)制
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