天气转凉，是高血压、中风、心肌梗塞等心脑血管疾病的高发季节。在秋冬季节，老年人容易出现头晕、头痛、胸闷、乏力等高血压症状。

The weather turns cool，Is high blood pressure、stroke、Myocardial infarction and heart cerebrovascular disease incidence season。In qiu dong season，Old people tend to appear giddy、headache、Bosom is frowsty、Symptoms, such as the lack of high blood pressure。

　　“立秋以后，家人要加倍留意家中的老年人。出现头晕、乏力等症状要及时就医。”江苏省中医院心内科戴友平教授说，“高血压的真正危害之处在于它会引起的一系列心脑血管疾病的并发症，其中尤以合并有糖尿病的患者危害为最。对糖尿病合并高血压人群，必须根据心血管危险性评估进行积极的干预和治疗。这对预防糖尿病大血管和微血管并发症、预防心血管事件的发生和提高生存质量，减少致残率，延长患者寿命具有十分重要的意义。”

“After the beginning of autumn，Family to double pay attention to the elderly at home。Appear giddy、The symptom such as lack to timely seek medical advice。”Jiangsu province hospital of traditional Chinese medicine DaiYouPing heart medicine professor said，“The real harm hypertension in it can cause a series of disease of heart head blood-vessel complications，Especially the merger with diabetes patients harm is the most。For diabetes mellitus and hypertension crowd，Must according to the cardiovascular risk assessment of positive intervention and treatment。The prevention of diabetes large blood vessels and microvascular complications、To prevent the occurrence of cardiovascular events and to improve quality of life，Reduce morbidity，Prolong patient life has the extremely vital significance。”

　　高血压和糖尿病常常合并存在。目前我国约有2亿的高血压患者，成人高血压的患病率约为18.8%。而我国糖尿病患病率已达9.7%，是世界第一的糖尿病大国。2005年《中国高血压防治指南》数据显示，36%的高血压患者合并糖尿病。更严重的是，我国高血压知晓率仅为30.2%，治疗率仅为24.7%，控制率仅为6.1%，低于世界平均水平。

High blood pressure and diabetes often merger exists。At present our country about 200 million hypertension patients，Adult hypertension prevalence of about 18.8%。And our country the prealence of diabetes has reached 9.7%，Is the world's first big diabetes。In 2005,《China hypertension prevention guide》Data display，36% of the hypertension patients with diabetes mellitus。More serious is，Our country hypertension awareness is only 30.2%，Therapy is only 24.7%，Control is only 6.1%，Lower than the world average level。

　　针对这一严峻的现实，2011年，中国医师协会发布了《高血压合并2型糖尿病的血压控制专家指导意见》。 《专家指导意见》指出，高血压合并2型糖尿病患者必须实行更加严格降压治疗策略、有效降低糖尿病患者的血压。高质量的降压对高血压合并糖尿病患者能更有效地降低心血管事件(死亡、心肌梗死、卒中、心衰、不稳定心脏病、其他血管事件等)，从而对高血压糖尿病患者发挥多效性保护作用。

The severe reality，In 2011,，The Chinese medical doctor association released《Hypertension combined type 2 diabetes blood pressure control expert guidance》。 《Expert guidance》Pointed out that，Merger high blood pressure in patients with type 2 diabetes must a more strict step-down treatment strategies、Effectively reduce blood pressure patients with diabetes mellitus。High quality step-down to hypertension patients with diabetes mellitus can more effectively reduce cardiovascular events(death、Myocardial infarction、stroke、Heart failure、Unstable heart disease、Other vascular events, etc)，Thus to hypertension diabetes patients play multiple effect protection。

　　怎样的降压治疗策略对于高血压合并糖尿病患者才有效呢？江苏省中医院心内科戴友平教授认为，高血压合并糖尿病患者治疗需要终身服药：“更重要的是，并不是把血压降下来就可以不吃药了，患者长期治疗的依从性是治疗策略的重中之重。”《专家指导意见》提出，血管紧张素受体拮抗剂(ARB)为高血压合并糖尿病治疗的首选用药，其中氯沙坦(科素亚)等在多个经典医学研究中被证实能有效降压、平稳降压、改善血压昼夜节律、安全性高、心、脑、肾等重要器官保护的特点，因此被推荐为高质量降压的药物。(章永)

What kind of antihypertensive treatment strategies for high blood pressure patients with diabetes mellitus to effective？Jiangsu province hospital of traditional Chinese medicine DaiYouPing heart medicine professor think，High blood pressure patients with diabetes mellitus require lifelong treatment：“More important is，And is not the blood pressure drop down can don't take medicine，Patients long-term treatment compliance is the top priority of the treatment strategies。”《Expert guidance》Put forward，Angiotensin receptor antagonist(ARB)For high blood pressure with diabetes mellitus treatment of choice in medicine，The losartan(Family element and)In many classical in medical research been proven effective decompression、Stationary decompression、Improve blood pressure circadian rhythm、High safety、heart、brain、Renal vital organs, such as the characteristics of the protection，Therefore recommended for high quality antihypertensive drugs。(ZhangYong)