关键词: 难治性高血压, 全科医生, 病例管理, 社区卫生服务, 社区首诊

Abstract:

Hypertension is one major chronic disease that threatens the health of Chinese people. Resistant hypertension is a special type of hypertension with complex pathogenesis and etiology, which is more harmful since it can increase the probability of cardiovascular disease and poor prognosis, suggesting that it should be a focus of general practitioners. Although a series of guidelines on the management of resistant hypertension have been released, general practitioners' knowledge and understanding of this disease are various, and the diagnosis, treatment and management of resistant hypertension performed by them are not sufficiently standardized. We reported a case of resistant hypertension first diagnosed in the community, whose blood pressure gradually reached the target level after treatment. Based on the review of relevant literature, we analyzed the process and ideasof managementof this case, and gave a summary of the treatment experience, providing a reference for incumbent general practitioners and trainees attending the standardized general residency program to treat patients with resistant hypertension.

Key words: Resistant hypertension, General practitioners, Case management, Community health services, Community-first visit