She participated in the hypertension prevention and control of the Shougang mode, and WHO is the promotion of typical cases

Author:I am a scientist Time:2022.08.26

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On August 13, the "2022 Medical Circle Value Medical Conference and the Third Taishan Awards Ceremony" was held in Shanghai. The annual Public Health Award was awarded a 94 -year -old scholar, former chairman of the World Hypertension Alliance, Lifetime Honorary Chairman of the China Hypertension Alliance, and Director of the Beijing Hypertensive Alliance Research Institute.

Liu Lisheng

"From the laboratory to the clinic, and then from the clinical to the community, our hypertension alliance follows this concept to expand the clinical practice of medicine into a wider social group." After the award, Professor Liu Lisheng said.

Until now, she persisted in the front line of hypertension prevention and control. As far as her, "high blood pressure" is like an "old friend" who is constantly updating.

In the years that deal with it, almost every step of Liu Lisheng's experience can be used to the word "pioneering".

"Can I not go?"

To do high blood pressure research, the earliest is not Liu Lisheng's "first volunteer".

On the road of medical, Liu Lisheng was greatly influenced by his father.

Her father was a student graduated from Peking Union Hospital and served as the director of the Department of Internal Medicine at the then Nanjing Central Hospital (now the General Hospital of Nanjing Military Region). Under the incentive of his father, Liu Lisheng was admitted to Beijing Union Medical College with his own efforts. In 1958, he successfully entered the Fuwai Hospital of the Chinese Academy of Medical Sciences and served as a hospital doctor internal medicine.

Early photos of Liu Lisheng

But just when Liu Lisheng was looking forward to it, when he wanted to make a result in the Department of Heart Department, Professor Wu Yingkai, who took her, wanted to arrange her to do high blood pressure research.

As soon as he heard this, Liu Lisheng's first reaction was: Can you not go?

On the one hand, she really likes the Department of Cardiacology very much, especially when she is very interested in the technologies such as cardiac ultrasound and electrocardiogram at the time; on the other hand, the research of hypertension was still in a "just rising" stage at the time. Although some high blood pressure epidemic research reports have been published internationally, how can I determine whether blood pressure is high or not? What means should I use it? It has to be studied further.

Is it really necessary to bet on a "uncertain future"?

But in the end, Liu Lisheng was still talking.

What impressed her was Professor Wu Yingkai: Heart ultrasound and electrocardiogram. These are technical issues. Of course, you can learn. But more importantly, it is to solve the "problem that has not been solved."

Hypertension was a problem that had not been solved at the time.

"I found that I was trapped in."

After transferring from the Department of Heart Department to Hypertension, Liu Lisheng and his colleagues started to conduct research on antihypertensive drugs.

In order to observe the effects of different antihypertensive drugs, they recorded the blood pressure changes after taking the two drugs of Luofumu and Liman Ping, respectively, and determined the efficacy of which drug was better. But to be honest, Liu Lisheng at this time still remained silent in his heart that he could return to the internal medicine of the heart one day.

Those who really let Liu Lisheng "get deeper and deeper" in this direction is a high blood pressure census cooperation between the "Hypertension Cooperation Group" and Shougang Group in 1969, involving a total of 10,450 people.

In the 1950s, Wang Yuanming, the first dean of Shougang Hospital, creatively proposed the concept of "Shougang employees and family members, from life to death", and established a very comprehensive medical prevention and health care system. In 1969, Shougang Hospital and Fuwai Hospital established a long -term cooperative relationship. Hypertensive census was one of many cooperative projects.

At that time, Liu Lisheng, as a member of the "Hypertensive Cooperation Group's Scientific Research Team", went directly to the grassroots with colleagues to eat, live, and work with Shougang Group. Blood pressure census.

I do n’t know, among the 10,450 workers participating in the census, the prevalence rate is as high as 10.08%!

This number deeply stimulates Liu Lisheng -can screen so many patients in a small range of data, so how many patients are there in the country? How can I effectively help these patients?

In addition to conventional treatment, Liu Lisheng began to create a high blood pressure grading management base in Shougang Group, and he took the lead in carrying out the registration of stroke, acute myocardial infarction, and sudden crown heart disease in the working group, filling the gap of my country's incidence without this incidence. At the same time, she and her colleagues also actively popularized the knowledge of high blood pressure, dietary nutrition, and risk factors such as diet.

In such a job, they did 28 years of work, which caused the incidence of strokes of Shougang Group's workers' groups to decrease by 34.6%as a whole, and the mortality rate fell by 60%.

In 1994, the World Health Organization used the "Shougang Mode" as a typical experience in China's hypertension prevention and control in the country.

"First Steel Model" related reports

In addition to the "Shougang Model", many concepts of high blood pressure research and treatment in my country then have cutting -edge significance even now.

For example, in the early days of high blood pressure research, the world's hypertension industry was very popular with "Pavlov theory". This doctrine believes that hypertension is a physical and mental illness. It should pay attention to the impact of high -grade neural activity on blood pressure, and enhance the subjective motility and participation of patients in the treatment stage.

Therefore, since 1960, Liu Lisheng and his colleagues have cooperated with the Institute of Psychology of the Chinese Academy of Sciences to combine traditional Chinese and western medicine and psychotherapy, forming a complete set of "comprehensive fast" hypertension therapy concepts.

Liu Lisheng

To overcome high blood pressure, we still have a long way to go.

The "China Guide to Hypertension Prevention 2018" pointed out that the awareness rate, treatment rate and control rate of high blood pressure over 18 years old are only 51.6%, 45.8%, and 16.8%.Compared with the world, high blood pressure in my country is not enough in terms of awareness rate, treatment rate or control rate.This is one of the key indicators to improve our national health.Fortunately, a generation of people who have continued to join the high blood pressure research center created by Liu Lisheng and the old researchers. They took the relay stick and will continue to move forward.

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