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根据高血压病的不同病理生理表现,进行合理的分型,以探索病机、指导治疗与估价预后是近几年来高血压病研究中新动向之一。其中以肾素分型一度受到重视,目前国外又有人提出以肾素—钠指数分型或其他分型等。且不说这些分型的临床价值,关键是这些分型目前在我国特别是一些基层医疗单位由于设备条件有限,还不容易普及或被掌握应用。况且高血压病患者病的程度不同,个体差异性又很大,除了体内错综复杂的因素外,还受睡眠、饮食、情绪激动与时令季节和地理环境等诸因素的影响。不过尽管影响因素甚多,但从高血压病的成因—即血液动力学而言,归结起来不外乎受下列三个主要因素影响:
According to the different pathophysiological manifestations of hypertension, it is one of the new trends in the study of hypertension in recent years to carry on reasonable classification in order to explore the pathogenesis, guide the treatment and evaluate the prognosis. Among them, the renin typing was once valued, at present, some people in other countries have proposed using renin-sodium index or other typing. Not to mention the clinical value of these subtypes, the key is that these subtypes are currently in our country, especially some grass-roots medical units due to limited equipment, is not easy to popularize or be mastered. In addition to the different levels of disease in patients with hypertension, individual differences are great, in addition to the intricacies of the body, but also by sleep, diet, emotional and seasonal seasonal and geographical factors and other factors. However, despite the many influencing factors, the main cause of hypertension, ie, hemodynamics, sums up to the following three major factors: