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预防高血压_预防高血压吃什么最好等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"年轻人怎么预防高血压_预防高血压吃什么最好","title":"年轻人怎么预防高血压_预防高血压吃什么最好","channels":null}}},"data":{"list":[{"id":"25695","isDel":0,"createAt":1559636166099,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高血压患者健身注意事项","content":"

对于高血压患者，坚持规律性的户外运动可以使血压降低5-10 mmHg，那么高血压患者健身注意事项有哪些？

 \"高血压患者健身注意事项\"

推荐的运动方式可根据自己条件与兴趣决定。运动量的确定需要因人而异，一般可参照以下原则：

 

1. 常见运动形式有快走、慢跑、骑自行车、秧歌舞、广播体操、有氧健身操、登楼梯。建议每周至少进行3 ～ 5 次、每次30 分钟以上中等强度的有氧运动，最好坚持每天都运动。此外，太极、瑜伽、太极柔力球、乒乓球、羽毛球等运动方式，可以改善身体功能，防止老年患者跌倒。

 

2．运动的强度可通过心率来反映，运动时最快心率＝170－年龄（例如50岁的人，运动时最快心率达到120次/分即可，35岁的高血压患者运动时最快心率应该达到135次/分）。

 

3．适宜运动的对象为没有严重心血管病的患者，但病情稳定的冠心病、脑血管病、糖尿病等慢性病患者应鼓励其进行适宜的运动锻炼。

 

4. 鼓励患者间断进行力量练习。可以利用简易器材进行推、拉、拽、举、压等动作。力量练习时应选择中低强度，练习时应保持正常呼吸状态，避免憋气。

 

5．应注意量力而行，循序渐进。运动过程中或运动后不应出现明显的胸痛、头痛、头晕等不适症状。

 

6．每天运动30-60分钟。每次运动时间不足30 分钟，可以累计。

 

7. 典型的体力活动计划包括三个阶段：1）5～10分钟的轻度热身活动；2）20～30分钟的耐力活动或有氧运动；3）放松阶段，约5分钟，逐渐减少用力，使心脑血管系统的反应和身体产热功能逐渐稳定下来。

 

8. 需要指出的是，在血压没有得到控制的情况下，不宜做剧烈运动。应该把血压控制在150/90 mmHg以下后再运动。

 \"高血压患者健身注意事项\"

","barId":"1920","topicTypeId":"2","topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1459,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1559636166099,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1567584977700,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1559636166099,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25692","isDel":0,"createAt":1559633307303,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高血压是不是少吃油","content":"

高血压是冠心病与脑溢血、脑梗的高危因素，那么高血压是不是少吃油比较好？

 

油脂、蛋白质和糖类是供给人体热量的三大营养素，如果这3 种食物摄入过多，超过人体需要的消耗量，超过的部分就会转化成脂肪蓄积下来，久而久之体质量就会增加，造成肥胖并引发一系列健康问题。

 \"高血压是不是少吃油\"

这里所说的油是指做饭炒菜时使用的烹调油。包括动物脂肪（俗称”动物油”，或称”荤油”）和植物油（俗称”素油”）。动物脂肪通常是指猪油、牛油、羊油等，一般是固体的；植物油是指从植物的果实、种子、胚芽中得到的油脂，如花生油、大豆油、菜籽油、芝麻油、玉米油、橄榄油、亚麻籽油等，一般呈液态。油脂分为饱和脂肪和不饱和脂肪，分别含饱和脂肪酸和不饱和脂肪酸。不饱和脂肪酸能降低胆固醇，适量食用对身体有益。而饱和脂肪酸是有害的，摄入过多会造成肥胖和血脂异常。

 

高血压患者进食烹调油的4 点注意：①选择安全的食用油，即卫生学指标、工艺及质控标准严格满足国家标准；②选择脂肪酸数量及构成比合理的油脂，如橄榄油、茶油等；③每日烹调油用量＜25 g（半两，相当于2.5 汤匙）；④控制烹调温度，油温不宜太高，油温越高，烹调时间越长，不饱和脂肪酸氧化越快，营养成分流失越多。

 

此外，高血压患者还应减少动物油和胆固醇的摄入：来自动物性食物的饱和脂肪酸和胆固醇是导致血脂异常的确定性危险因素，需严格限制。饱和脂肪酸主要存在于肥肉和动物内脏中。高胆固醇的食物主要有动物内脏、蟹黄、鱼子、蛋黄、鱿鱼等。

 

反式脂肪酸的主要来源为含人造奶油食品，包括各类西式糕点、巧克力派、咖啡伴侣、速食食品等。不饱和脂肪酸高温或反复加热后会形成反式脂肪酸，有害健康。美国已规定食品标签必须注明反式脂肪酸含量，且含量不得超过2%。所以上述食品尽量少吃或者不吃。

 

橄榄油富含有单不饱和脂肪酸，主要是油酸，对降低血胆固醇、甘油三酯和低密度脂蛋白胆固醇有益。高血压患者可适量选用橄榄油，每星期3 次或隔天1 次即可。橄榄油可作凉拌菜，也可炒菜，应注意将烹调温度控制在150℃以下。

 

需要指出的是，虽然一些植物油对脂代谢可能具有有益的影响，但过量食用都会增加饮食总热量摄入，而高热量饮食是导致肥胖、胰岛素抵抗、糖尿病等多种健康问题的重要原因。所以，植物油也不要吃太多。

 \"高血压是不是少吃油\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说



","barId":"1920","topicTypeId":"3","topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1492,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1559633307304,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1567582114789,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1559633307304,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25684","isDel":0,"createAt":1559571663426,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"长效降压药用一段时间后就得换药吗","content":"

一些患高血压的朋友经常问：我用长效降压药用一段时间后就得换药吗？用一种药时间久了会不会耐药？长时间用一种药会不会产生副作用？我的回答是：不用换，只要血压控制满意并且没有发生不良反应就不用更换降压药物。

 \"长效降压药用一段时间后就得换药吗\"

降压治疗的一个基本原则就是要长期、持久、平稳的控制血压。频繁更换降压药物会导致血压波动，血压波动对于心脑肾都会产生不利影响。

 

目前临床应用长效降压药物越来越多，这些药物的优势在于每天只需服药一次，便于长期坚持治疗。同时，应用长效药物还可以减少血压波动，使血压平稳地降低。这些长效药物还有一个特点：服药后不会立即发挥明显的降压作用，需要连续用药2-3周后才能充分起效。这一特点保证了血压逐渐平稳地降低，因为短时间内血压迅速而显著的下降对病人也是不利的。所以刚刚用药的朋友不要着急，需要坚持用药2-3周后才能判断疗效如何。有人用了一种药才两三天，感觉血压没有明显下降就认为无效，换用其他药物，这样做是不合理的。如果血压只是轻中度升高，无需紧急降压，开始药物治疗后要观察至少一两周后再评估治疗效果。

 

降压药物的副作用通常发生于刚服药的数周内。如果用要几个月了没有副作用，说明你对这些药物耐受得很好，不必担心长期吃药会有不良反应。降压药物的耐药性也很少见。一些人一开始用一种药治疗后血压控制的很好，但过几年后血压再次升高，患者误以为是出现了耐药性，其实并非如此。很多患者随着年龄增长血压会逐渐增高（特别是收缩压即“高压”），这种情况需要加用第二种药物，而不是换另外一种药。

 \"长效降压药用一段时间后就得换药吗\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说


 


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一位朋友来电话，说因为高血压在当地医院看病，医生让他做彩超，问我高血压为什么要做心脏彩超（他特别解释说不是怕花钱，是嫌麻烦）。我回答如下：

\"高血压为什么要做心脏彩超\" 

我们的胳膊总是用力气，胳膊就会增粗；我们的腿经常锻炼，腿也会变粗壮。我们的心脏同样如此。然而，胳膊、腿增粗是健康的表现，但心脏增厚、增大可不是好事儿！

 

我们的心脏就是一个泵，源源不断的把富含氧的血液从心脏输送到动脉血管内（当然也有回收系统，这里不多叙述）。高血压患者动脉血管内的压力增高，心脏往血管内排射血液时需要对抗更大的阻力，久而久之心脏的壁就会变厚，这被称作“心室肥厚”。发生心室肥厚之后，心脏的运动就不像原来那样灵活了，很容易发生心力衰竭。

 

医生经常建议高血压患者做心脏彩超，主要目的是想了解一下患者的心脏是否出现了增厚的情况。如果存在心室肥厚，治疗就应该更加积极，选择降压药物时也会有所不同。如果高血压患者已经发生心衰（特别是一种称为“舒张性心衰”的疾病），还需要针对心衰进行治疗。所以，高血压患者检查心脏彩超是很有必要的。

\"高血压为什么要做心脏彩超\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说


","barId":"1920","topicTypeId":"2","topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1682,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1559571143821,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1567519951215,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1559571143821,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25679","isDel":0,"createAt":1559567323991,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"血压偶尔升高需要吃药吗","content":"

血压偶尔升高需要吃药吗？要紧吗？


这要视情况而定。如果每天的血压多次测量均在正常范围，只是偶有一两次运动后、情绪激动时增高，这是正常情况，不要紧，也不需要治疗。如果多次测量都高，那么就应该到医院咨询医生了。如果平时都正常，偶尔一天增高，不要着急，过几天再次测量，若仍然高就应该咨询医生了。需要注意的是，间断性血压升高有可能是高血压前期的表现，如果不注意预防，很可能发展为持续性高血压。

 

每个人的血压每时每刻都在波动，这个波动受到血压的内在变化规律、外界环境因素以及测量血压时的测量误差三个方面的影响。兴奋、恐惧和运动时血压增大，当兴奋紧张的情绪消失或者停止运动后血压又迅速下降；睡眠时血压会降低，而醒来时下降的血压又会立即回升；环境温度下降则血压升高，环境温度升高则血压又降低。此外，血压还可受吸烟、饮酒、饮咖啡等因素影响而引起一时性变化。人体血压之所以不断波动，是为了更好地适应机体内部与外部环境的变化。所以说血压在一定范围内波动是正常现象。正因如此，如果连续测量血压，很多人的血压都会偶有超过140/90 mmHg的情况，所以这是一种正常现象。然而，如果一天之内很多次血压测量结果高于正常，那就不正常了。

 \"血压偶尔升高需要吃药吗\"

临床上，有一种连续测量血压的技术方法，称作“动态血压监测”，用这种方法可以连续记录24小时的血压（每半小时至1小时测量一次血压）。动态血压检测结果中有一个参数叫做“动态血压负荷值”，该指标反映的是每天24小时内所测得的血压数值有多少次达到高血压的诊断标准。例如，某人的动态血压负荷是20%，就意味着在每天40次血压测量结果中有8次超过了140/90 mmHg（8÷40=20%）。动态血压负荷值越高，诊断高血压的可能性就越大。

 

一般而言，健康成年人的动态血压负荷值应该＜15%。动态血压负荷值≥50%（即半数血压测量值均超过140/90 mmHg）可作为高血压的参考诊断标准。有研究显示，如果动态血压负荷值超过40%，发生脑血管病的风险就已明显增高。所以，在不发生低血压的前提下，血压负荷值越低越好。实际上，动态血压监测所得到的血压数值比在医院用台式血压计所测得的血压数值要低一些。如果24小时动态血压平均值超过130/80 mmHg、或者日间血压平均值超过135/85 mmHg，就应该考虑诊断高血压了。

\"血压偶尔升高需要吃药吗\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1584,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1559567323995,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1567516131575,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1559567323995,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25671","isDel":0,"createAt":1559401693942,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高血压高尿酸的降压药","content":"

高血压高尿酸的降压药怎么选择呢？

 \"高血压高尿酸的降压药\"

对于血压和尿酸都升高的人而言，最重要的不是用药，而是尽快纠正不健康生活习惯。这是因为不健康生活习惯是导致高血压和高尿酸的共同基础。除了高血压和高尿酸外，高血脂、高血糖、肥胖等也常常同时发生，这些异常会对心血管系统产生显著危害，增加冠心病和脑血管病的风险。

 

所谓不健康生活习惯主要包括吃得太多、活动太少、肥胖、经常酗酒、吃绿叶蔬菜少、吃动物内脏太多等。纠正这些不健康习惯，很多人的血压、尿酸可以恢复正常的。

 

如果经过上述措施疗效仍不满意，就应该应用药物治疗了。常用的降压药物中，血管紧张素转换酶抑制剂（即“普利类”）和血管紧张素受体阻滞剂（即“沙坦类”）既能有效降压，还不会对血尿酸产生不利影响，甚至有助于降低尿酸水平。钙通道阻滞剂（地平类）也可以用于这样的患者。利尿剂（如氢氯噻嗪、呋塞米等）会加重高尿酸血症，尽量避免使用。如果一种药物不能满意控制血压，可以联合应用“普利类”与“地平类”，或者“沙坦类”与“地平类”，这样可以明显增强降压效果。

\"高血压高尿酸的降压药\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说



","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1437,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1559401693942,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1567350510896,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1559401693942,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25667","isDel":0,"createAt":1559399215595,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高血压就能得心梗脑梗吗","content":"

经常有人问：高血压就能得心梗脑梗吗，或者得心梗脑梗几率大吗？

 \"高血压就能得心梗脑梗吗\"

的确如此。高血压患者发生脑出血、脑梗死和心肌梗死的风险都明显高于血压正常的人。

 

高血压增加脑出血的风险，这很好理解。血管里面压力太高了，血管薄弱部位就容易崩裂出血。

 

高血压增加脑梗死和心肌梗死的风险，解释起来稍微复杂一些：无论心梗还是脑梗，其最常见的病理基础都是动脉粥样斑块形成。好好的血管，一旦形成斑块就会使血管狭窄，心脏或脑就会缺血。如果斑块突然破裂，就会迅速形成血栓，动脉血流中断，于是就会发生心梗、脑梗。

 

动脉粥样斑块是怎么形成的？动脉粥样斑块就是血液中的胆固醇进入了血管壁内。我们血液中都有胆固醇，因为我们的血管内膜非常严密，正常情况下胆固醇不能进入血管壁内。但是，发生高血压后，高压血流会把血管内膜“冲坏”，使得原本严密的血管内膜出现裂隙，于是血液中的胆固醇就会乘机而入，逐渐形成斑块。

 

所以说，高血压病人更容易发生心梗、脑梗。所以说我们应该积极防治高血压。

\"高血压就能得心梗脑梗吗\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说


","barId":"1920","topicTypeId":"2","topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1565,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1559399215596,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1567348021145,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1559399215596,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25611","isDel":0,"createAt":1558532768096,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高血压糖尿病生活中应注意事项","content":"

同时患有高血压和糖尿病比平常的人更容易发生心梗和脑梗，高血压糖尿病生活中应注意事项有哪些？

 

首先，要强调健康生活习惯，例如要合理饮食（不要吃太多、不要吃含糖量太多的食物、不要吃太咸、不要吃太肥腻的食物、多吃蔬菜等）、增加运动、把体重控制在理想范围（肥胖的人更容易发生高血压和糖尿病以及心脑血管病）、不要大量喝酒、努力戒烟等。

\"高血压糖尿病生活中应注意事项\" 

第二，一定要在医生指导下好好控制血压，糖尿病人的血压最好控制在130/80 mmol/L以下。该用药时就要用药，并且要长期坚持服用降压药物，不要因为担心降压药的副作用而拒绝用药，更不要等着心脏、脑和肾脏都出了问题才想起去吃降压药。

 

第三，在医生指导下好好控制血糖，既要治疗高血糖，又要预防低血糖。

 

第四，血液中胆固醇水平越高，就越容易发生心脑血管病。所以高血压合并糖尿病的人要定期去医院检查血脂，如果低密度脂蛋白胆固醇超过1.8 mmol/L就要吃一类叫做“他汀”的药物，努力把胆固醇降得更低一些。

 

上面这四个方面，只要长期坚持做到，就能够把发生心脑血管疾病的风险降到最低水平。

\"高血压糖尿病生活中应注意事项\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"高血压糖尿病生活中应注意事项\"

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","barId":"1920","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1360,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558532768097,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566483080363,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558532768097,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25606","isDel":0,"createAt":1558527189343,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"天气变凉高血压的人就容易血压升高吗","content":"

天气变凉高血压的人就容易血压升高吗？高血压和心脑血管病朋友们应该注意什么？

 

季节变换时高血压患者的血压容易发生波动。进入秋季后，北方地区天气逐渐转凉，这段时间少数高血压患者、特别是老年人可能会出现血压升高，因此需要加强血压监测。

 \"天气变凉高血压的人就容易血压升高吗\"

天气变凉后，皮肤血管会收缩，加之出汗减少，一些敏感人群的血压可能比平时有所增高。敏感人群主要包括老年人、平时血压波动大的患者、平时血压控制不理想者、不坚持规律性服药者、以及重度高血压患者。这些高血压患者一方面一定要坚持服药，同时还要注意经常测量血压。若血压比平时轻度升高（收缩压增高不超过10 mmHg），暂时不用特殊处理，继续服用原来的降压药物，观察数日，随着人体逐渐适应气温变化，多数人的血压可以逐渐恢复正常。若血压升高明显（收缩压升高超过10 mmHg，或者中青年血压持续超过140/90 mmHg，老年人血压持续超过150/90 mmHg），则需要咨询医生，由医生决定是否需要调整降压药物，不要因为血压升高自行增加药物。

 

服用降压药物最忌讳的一项事情就是吃药不规律、吃吃停停，或者血压高了就吃一点，血压降下来就不吃了，这样做的后果是血压不断的明显波动，对心脑肾都会产生不利影响。正确的做法是在医生指导下制定降压治疗方案，然后长期坚持用药，并且平时自己经常测量血压。只要血压控制满意并且耐受良好、无明显副作用，就不要随意更改方案。有些人担心长期吃某种降压药物会产生耐药性，也有人担心总吃一种药会有副作用，所以频繁更换药物，这样做是不正确的。“自己常测血压、医生指导治疗”是最可靠的做法。

 

除了血压外，秋冬季节也是心脑血管病的高发季节。原有冠心病、心梗、心衰、脑梗的患者更要多加注意。首先要坚持服药，不要随意停药或者减量；其次要注意保暖，适当增加衣物，避免受凉、感冒和肺感染，以免诱发心脑血管病；三是要保证睡眠，避免过劳；四要注意监测自己病情变化，有任何不适症状及时咨询医生。很多人认为季节变换时需要输液保养、疏通血管，这是没有科学道理的。心脑血管病患者的健康维护主要依靠良好的生活习惯以及在医生指导下进行口服药物治疗，如果没有特殊症状，定期输液对于预防心脑血管病复发没有帮助。

\"天气变凉高血压的人就容易血压升高吗\"

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","barId":"1920","topicTypeId":"2","topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1534,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558527189344,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566476185800,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558527189344,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25605","isDel":0,"createAt":1558526881405,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"中青年高血压降压目标","content":"

中青年高血压降压目标这个问题需要分两种情况来回答：如果通过控制饮食和运动等生活方式干预措施来调节血压，不用担心血压过低，在可能的情况下低一些会更好；如果应用药物治疗要努力控制在130/80 mmHg以下，但不要低于120/70 mmHg。

 \"中青年高血压降压目标\"

如果您的血压只是轻度升高，应该首先尝试生活方式干预，即控制饮食热量摄入、限制食盐摄入量、增加运动、保持理想体重、限制饮酒、生活规律、保证睡眠、精神放松等措施。做到这几方面，多数人的血压会有比较明显地降低。如果能够降低到130/80 mmHg以下当然是最理想的，即便低于120/70 mmHg也没关系，因为在这种情况下的血压下降是通过机体自身调节实现的，不用担心降得太低，实际上也不会降得太低。

 

如果通过降压药物控制血压则另当别论：首先要保证血压控制在140/90 mmHg以下，如果没有不良反应，则尽量将血压控制在130/80 mmHg以下，但不宜低于120/70 mmHg。因为生理状态下（包括生活方式干预后）的120/70 mmHg与应用药物降到120/70 mmHg是不同的，应用药物把血压降得太低可能对患者产生一些不良影响。并且血压控制的越低，所需要的药物种类和剂量就越多，可能会增加药物相关的不良反应风险。正如血糖控制那样：健康人空腹血糖低于6.1 mmol/L，餐后血糖低于7.8 mmol/L，但对于应用降糖药物治疗的糖尿病人，如果强行把血糖控制在这个水平就会对患者产生不利影响，所以血糖控制目标就要比血糖正常值宽松一些。

 

因此，高血压患者应该尽量把血压控制在130/80 mmHg，但不宜通过强化药物治疗追求过低的血压（即不宜低于120/70 mmHg）。如果应用了多种药物且用药剂量很大，或者在降压治疗中患者出现血压过低的症状或者降压药物相关的副作用，把血压控制在140/90 mmHg就行了，不要为了追求低于130/80 mmHg的目标而继续增加药物剂量或药物种类。另外，如果患者已经发生肾脏损害，其血压不宜低于130/70 mmHg。

\"中青年高血压降压目标\"

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","barId":"1920","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1615,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558526881408,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566475690472,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558526881408,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25603","isDel":0,"createAt":1558525540940,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":1558525571362,"updateBy":"84404015eff611e6a61c00163e04584d","updateName":"13911686944","userId":"84404015eff611e6a61c00163e04584d","title":"电子血压计好还是水银血压计好","content":"

对于成年人，每个人都要了解自己的血压水平，每年都要测几次血压。那么量血压时候是电子血压计好还是水银血压计好？

 \"电子血压计好还是水银血压计好\"

现在越来越多的医疗机构开始应用电子血压计。很多人以为电子血压计不准，这种观点是错误的。电子血压计不仅值得信赖，而且今后将逐渐取代传统的水银血压计。无论是我国的高血压指南，还是近年来先后更新的欧美高血压指南都充分肯定了电子血压计的临床地位。

 

例如，加拿大高血压指南是这样说：

1. 测量血压首选电子血压计，而非传统的听诊法；

2. 应用电子血压计在家中自己测量血压时，血压平均值≥135/85 mmHg时可诊断为高血压；

3. 应用电子血压计在家中自行测量血压的数据可以作为诊断高血压的依据。

 

我国高血压指南也充分肯定了电子血压计的重要地位与可靠性。由此可见，电子血压计是值得信赖的。但要选择符合计量标准的电子血压计，并掌握正确的测量血压的方法。

 

近年来，电子血压计的应用越来越多。除家庭应用外，很多医院也开始用电子血压计取代水银柱血压计。2013年我国签署了水俣公约，按照该公约要求，至2020年我国将停止生产水银柱血压计，因此电子血压计将会成为血压测量的主要工具。

 

很多人认为电子血压计不准确，这种观点是错误的。只要所购买的电子血压计经过了国际标准验证（购买时要认真查看说明书），其准确性是可以信赖的。若不放心的话，购买电子血压计后可与水银柱血压计进行对比（建议去大医院对比，因为大型公立医院的水银柱血压计每年都要强制进行标准化计量检测，所以更可靠）。需要说明的是，目前只推荐选用臂式电子血压计，在手腕测量血压的腕式血压计的准确性尚有待评估，因此不建议选用。

 

有人说，我在家测量的血压跟在医院测的数值不一样，是不是说明我的血压计不准？不是，只要你测血压的方法正确，你自己测得血压比医生测量的数值更能反映你的真实血压。在医院测血压会发生“白大衣现象”，导致血压比实际血压偏高。在家自己测血压不会出现这种情况，因而更可靠。还有一种可能，就是血压一直在变。我们每个人的血压都一直在波动，每天上下相差30-40mmHg是经常的事儿，上午140/90，到了下午就可能是120/80。所以你在家测血压和在医院测血压完全可能不一样。

 

其实吧，即便用同一个血压计，每隔几分钟测一次，每次跟每次测量的数值也不一样，不信你试试？这不是因为血压计不准，是因为我们的血压一直在变化。

 

与水银柱血压计相比，电子血压计对测量技术要求低，使用简便，且可避免人为误差。但是患房颤或频发早搏的患者，使用电子血压计测量可能会有较大误差。这种情况下最好多测几次、取平均值，或者选用水银柱血压计测量。

 

所以说，电子血压计是值得信赖的，特别适用于在家中自己测量血压。有人说电子血压计不准，这是一个错误观念。

\"电子血压计好还是水银血压计好\"

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","barId":"1920","topicTypeId":"2","topicThemeId":"1032","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1473,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558525540941,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1561203979933,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558525540941,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25590","isDel":0,"createAt":1558359809143,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"请问高血压能吃辣椒吗","content":"

请问高血压能吃辣椒吗？曾经听一位医生说高血压患者不宜吃辣椒，以免造成血压升高。这种说法是不正确的。辣椒不但不会引起血压升高，还具有一定降压作用，因此高血压患者适度吃辣椒是有好处的。

\"请问高血压能吃辣椒吗\" 

首先，吃辣椒具有轻度的直接降压作用；其次，吃辣椒可以减少脑中风的发生；此外，吃辣椒还可以对心脏和血管产生一定保护作用，并有助于抗动脉硬化、逆转心室肥厚、增加运动耐量、减轻脂肪肝、降低血糖等。

 

吃盐过多对高血压是不利的，可以增加高血压的发病风险，升高血压水平。适当吃辣椒可以改善口味，对于平时口味较重、难以减少食盐摄入量的高血压患者，用辣椒佐餐可以减少对食盐的需要量，从而间接发挥降压作用。此外，有研究发现，吃辣椒还可以促进钠的排泄，这同样有助于降低血压。

 

由上可见，高血压患者适度吃辣椒肯定是有好处的。然而，也有研究发现，长期大量吃辣椒（特别是很辣的辣椒）可能会对胃肠道产生不利影响，因而我们鼓励高血压患者适度吃辣椒，但不要吃得太多。任何事物都是双方面的，都要掌握好一个度，对于辣椒同样如此。

\"请问高血压能吃辣椒吗\"

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","barId":"1920","topicTypeId":"3","topicThemeId":"1035","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1593,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558359809144,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566308641948,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558359809144,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25579","isDel":0,"createAt":1558254096583,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"2019最新高血压指南","content":"

历时三年，经过三十余场专家讨论会，凝聚着数十位专家心血的2019最新高血压指南终于揭开面纱，向全国同行征求意见。临床医生最为关心的三大关键问题如下：

 \"2019最新高血压指南\"

一.诊断标准：1. 在未使用降压药的情况下，非同日3次测量诊室血压，收缩压≥140 mmHg，和（或）舒张压≥90 mmHg；2.既往确诊高血压，目前正在应用降压药物治疗，亦诊为高血压；3. 动态血压监测：24小时平均血压≥130/80mmHg，日间≥135/85 mmHg，夜间≥120/70mmHg，也被用作高血压诊断标准；4. 家庭自测血压：诊断标准为≥135/85 mmHg。

 

二.启动药物治疗的时机：生活方式干预是所有高血压患者的治疗基石。低危患者先予以1-3个月的非药物治疗，中危患者可进行数周的生活方式干预，若血压仍不能满意控制，即应启动药物治疗。高危患者应立即予以药物治疗，同时进行生活方式干预。

 

三.降压目标值：一般高血压患者血压应降至＜140/90mmHg，能耐受者和部分高危患者可进一步降至＜130/80 mmHg。新指南强调，在条件允许的情况下，应采取强化降压的治疗策略，以取得最大程度的心血管获益。

 

特殊人群的血压控制目标如下：1. 老年高血压：65-79岁患者，首先降至＜150/90 mmHg，若能耐受进一步降至＜140/90 mmHg。≥80岁患者降至＜150/90 mmHg；2. 妊娠高血压：＜150/100 mmHg，且不低于130/80 mmHg；3. 病情稳定的卒中患者：＜140/90 mmHg；4. 冠心病：＜140/90 mmHg，若能耐受可＜130/80 mmHg，但舒张压不宜降得过低；5. 心力衰竭：＜130/80 mmHg；6. 慢性肾病：无白蛋白尿者＜140/90 mmHg，有白蛋白尿者＜130/80 mmHg；7. 糖尿病：＜130/80 mmHg；8.外周动脉疾病：＜140/90 mmHg。

 

关于降压药物的选择，对于没有合并症或其他危险因素的高血压患者，ACEI、ARB、CCB、利尿剂与b-受体阻滞剂均可用于起始与维持治疗。合并其他疾患或危险因素的患者，可根据具体情况选择药物。

 

不求惊天动地，但求脚踏实地——这是我对我国新版高血压指南的总体印象。与新近颁布的美国或欧洲高血压指南相比，我国新指南似乎少了一些“刺激”，多数推荐建议延续了上一版指南的观点。特别是在美国下调高血压诊断标准、美国与欧洲均下调降压目标值的背景下，我国新指南给很多人一种“不够过瘾”的感觉。然而，学术就是学术，不是文学作品，更不是赌博。基于我国实际情况，做出适合于我国国情的推荐建议是新指南的出发点。从此角度看，我们的目的达到了。

 

在高血压诊断标准方面，我国显然不能盲目跟风美国，即便欧洲等发达国家和地区也没有简单效仿。这是因为高血压的诊断标准不仅仅是一个医学问题，也是一个社会问题。在高血压整体防治水平依然较低的我国，贸然下调诊断界值不仅无助于促进我国高血压的防治，还会带来一系列社会问题。

 

在降压目标值方面，有人认为新指南过于保守，其实并非如此。在推荐一般高血压患者将＜140/90 mmHg作为控制目标的同时，我国指南并未拒绝更为严格的控制血压，指出“在条件允许的情况下，应采取强化降压的治疗策略，以取得最大程度的心血管获益”，这既是对积极降压策略的认同，也为临床医生制定个体化治疗方案提供了灵活的空间。从这个角度看，新指南对于降压强度与强化降压的观点与欧美指南并无明显差异。

 

在降压药物选择方面，我国新指南的推荐建议更加符合我国国情，不仅没有像英、美等国那样将b-受体阻滞剂排除在一线降压药物之外，还继续保留了对我国一些传统药物的推荐。我国高血压防治水平还很低，高血压的治疗率与控制率与欧美发达国家仍存在很大差距，因此目前我们最需要做的是创造条件，让大多数高血压患者得到基本治疗。做到这一点，就能够大幅度降低高血压相关的心脑肾靶器官损害与致死致残率。对于一个没有满足温饱的人群，不应该挑食。治疗高血压也是如此。

 \"2019最新高血压指南\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1526,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558254096584,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566202904162,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558254096584,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25577","isDel":0,"createAt":1558253285042,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"两只胳膊血压一样好吗","content":"

两只胳膊血压一样好吗？当然好了！

 \"两只胳膊血压一样好吗\"

一般情况下，左右臂的血压基本一致，也可以完全相同。如果有一点差距，也属于正常现象，但两侧差值一般不应超过10 mmHg。也许左侧高于右侧，也许右侧高于左侧。有人认为由于血管起源不同，右侧血压应该高于左臂血压，这种说法是没有研究证据的。

 

如果两侧血压差值超过20 mmHg，就应该仔细检查了，很可能提示血压较低的一侧血管存在异常（例如动脉粥样硬化病变导致了血管狭窄）。

 

正因如此，第一次测量血压时，应该同时测量左臂和右臂两侧的血压，如果两侧血压一致，完全属于正常现象；如果两侧血压有轻度不同，差值不超过10 mmHg，也没问题，但今后监测血压时应该以较高一侧的血压为准；如果两侧血压差值10-20 mmHg，今后应该加强监测，每年至少同时测量一两次两侧血压，看看两侧差值有没有持续增加；如果两侧血压差值过大，超过了20 mmHg，应该找医生进一步检查。

\"两只胳膊血压一样好吗\"

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","barId":"1920","topicTypeId":"2","topicThemeId":"1029","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1432,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558253285043,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566202093242,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558253285043,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25576","isDel":0,"createAt":1558253036032,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"怎么选择适合自己的降压药","content":"

降压药物的选择是很复杂的，应该听从医生的指导，不要自己随意买药进行治疗，本文就告诉你怎么选择适合自己的降压药呢？

 \"怎么选择适合自己的降压药\"

常用的降压药物有很多种，包括：1. 普利类（卡托普利、依那普利、贝那普利、赖诺普利、雷米普利、培哚普利等）；2. 沙坦类（氯沙坦、缬沙坦、厄贝沙坦、替米沙坦、坎地沙坦、奥美沙坦、阿利沙坦等）；3. 地平类（硝苯地平控释片或缓释片、氨氯地平、左旋氨氯地平、非洛地平缓释片、尼卡地平、尼群地平、贝尼地平等）；4. 利尿剂（氢氯噻嗪、吲达帕胺等）；5. b-受体阻滞剂（美托洛尔、比索洛尔、阿替洛尔、拉贝洛尔、阿罗洛尔、卡维地洛等）。

 

由于不同药物的作用特点有所不同，因此高血压病人应用哪种降压药需要考虑多种因素。一般来讲，如果仅有高血压，没有并发症（如心脑肾病变）或合并其他疾病（如糖尿病等），各类药物都可以选用。如果同时存在其他疾病，可以按照以下原则选择降压药：

 

1. 合并左心室肥厚：首选地平类、普利类、沙坦类；

2. 合并冠心病：首选地平类、普利类、沙坦类和b-受体阻滞剂；

3. 曾有心肌梗死病史者：首选普利类、沙坦类和b-受体阻滞剂；

4. 合并心衰：首选普利类、沙坦类、利尿剂或b-受体阻滞剂；

5. 合并房颤：首先普利类或沙坦类；

6. 合并脑血管病：首选地平类、普利类、沙坦类或利尿剂；

7. 合并颈动脉内膜增厚或斑块：首选地平类；

8. 合并蛋白尿或微量白蛋白尿：首选普利列或沙坦类；

9. 老年高血压患者：首选地平类、普利类、沙坦类或利尿剂；

10. 合并糖尿病：首选普利类或沙坦类；

11. 合并高血脂：首选普利类或沙坦类。

 

多数高血压患者需要应用两种或更多种降压药物才能使血压达标，采用哪种组合方式也需要根据患者具体情况确定。一般来讲，不要联合使用普利类和沙坦类；如果没有心衰，不要联合使用普利类与b-受体阻滞剂，也不要联合沙坦类与b-受体阻滞剂。

 

看完本文，知道怎么选择适合自己的降压药了吧！

\"怎么选择适合自己的降压药\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1762,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558253036033,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566201842215,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558253036033,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25575","isDel":0,"createAt":1558252736460,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"血压偶尔高一次怎么办","content":"

血压偶尔高一次怎么办，看看我的经历希望能给你点参考！

 \"血压偶尔高一次怎么办\"

多年以来，我自己的血压一直很不错，收缩压110-130 mmHg，舒张压70-80 mmHg。我常为此感到骄傲。之所以有这么好的血压，首先要感谢父母给了我一套好基因（基因的力量是非常强大的，所以有句话叫做“七分天注定、三分靠保养”）。母亲已经80多岁了，血压一直在130/80 mmHg以下。

 

上周四下午开会过程中，感到右侧头痛，从没有过这种感觉，用手狠狠的掐太阳穴部位，没什么效果。散会后回到病房首先测量一个血压，149/95 mmHg，随后再次测量为150/100 mmHg。血压高了！咋办？

 

自己心里明白，这一段时间工作一直很忙碌，处于持续紧张状态下，血压升高也在情理之中。血压适度增高有助于增加心脑供血，提高人体工作效能。但如果血压持续增高，天长日久，动脉血管张力就会持续增高、然后发生重塑、血管壁增厚，加之体内神经内分泌持续激活，高血压将难以逆转，心脑肾等靶器官损害将随之而来。

在此情况下，最需要做的是放松与休息，而不是用药。当天晚上公园散步一小时（户外运动是身心放松最好的方式之一），然后10点就睡觉（充足睡眠可是降低血压的有效措施），次日清晨感觉好多了。

 

周五继续工作。工作当然不能受影响，但调整心态很重要（一个好的心态是疾病的又一道防火墙）：要知道自己应该做什么，然后努力去做，尽最大努力争取最好的结果，但是不能急不能燥更不能情绪激动。用平和的心态、尽最大的努力，这是对待工作的最佳方式。

 

周五下班时测血压140/90 mmHg。自己感觉不错。

随后三天小长假，放下各种不太着急的案头工作，睡觉、游园、发呆……。看似蹉跎了时光，但健康是第一位的，只有好的身体才能更好的工作。

 

三天假期即将结束，刚刚再次测血压，129/86 mmHg，逐渐接近原来的水平。相信明天的血压会更好。

 

一点体会与大家分享：遗传因素很重要，但这是与生俱来的，我们无能为力。我们能做的就是后天“保养”。这些年来我的血压之所以维持的很好，除了基因外，主要得益于每天坚持户外运动（10000步以上），体重一直保持得不错，体质指数23.5。坚持规律性户外运动、维持理想体重是预防高血压的重要措施。精神紧张与劳累是导致高血压的常见原因。对于上班族来讲，要想不忙碌、不劳累，那是不现实的，除非你下岗或者退休。但是忙碌不怕，调整好心态非常重要，该干啥就干啥，干忙啥就忙啥，别急别燥别生气，这是对待工作的最正确态度。偶尔血压增高的时候，最需要做的就是放松与休息，狠狠地睡，血压自然就会降下来。

 

血压偶尔高一次怎么办的一点体会跟大家分享，希望对各位有所启发。

 

\"血压偶尔高一次怎么办\"

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","barId":"1920","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1548,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558252736460,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566201651480,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558252736460,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25569","isDel":0,"createAt":1558191781510,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"血压多高需要吃降压药","content":"

你知道吗？常年高血压而不治疗，很快就会影响到心脏、脑、肾脏等器官。那么血压多高需要吃降压药？

 \"血压多高需要吃降压药\"

高血压朋友等发生了心脑肾病变，吃药会更多，花钱会更多。等心脑肾等出了问题再治，效果会大打折扣。早期进行治疗，完全可以把心脑肾并发症的风险降低到最低水平。所以，以下患者要及时服用降压药：

 

1. 多次测量血压均超过140/90 mmHg的患者。不同患者开始应用降压药的时机不尽相同。一般来讲，若血压不超过160/100 mmHg，并且没有冠心病、慢性肾病、糖尿病等合并症，应该首先尝试生活方式干预（即少吃盐、多运动、控制饮食、减轻体重、少喝酒、充分休息等措施），很多患者的血压可以降到正常范围。若经过几周后血压仍然增高，可开始药物治疗，把血压控制在140/90 mmHg以下，最好控制在130/80 mmHg以下。

 

2. 若患者合并冠心病、慢性肾病或糖尿病等，血压超过130/80 mmHg就应该考虑应用降压药物，并将血压控制在130/80 mmHg以下。

 

3. 对于65岁以上老年人，经过生活方式干预血压仍超过150/90 mmHg者可考虑应用药物治疗，把血压降低到150/90 mmHg以下。如果患者耐受良好，没有明显不良反应，可尝试将血压降低到140/90 mmHg以下。

 

\"血压多高需要吃降压药\"

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","barId":"1920","topicTypeId":"3","topicThemeId":"1036","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1399,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558191781511,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566140628634,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558191781511,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25566","isDel":0,"createAt":1558168627362,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":1558579839071,"updateBy":"425fdc1d2e6111e8a3d800163e04584d","updateName":"求一红颜笑看余生","userId":"425fdc1d2e6111e8a3d800163e04584d","title":"糖尿病高血压治疗方法","content":"

并存糖尿病的高血压患者治疗也是要严格注意和把控的，对于如何用药都是要根据医生的指导进行，本文中为大家讲解糖尿病高血压治疗方法。看看欧洲新高血压指南说了些什么？

\"糖尿病高血压治疗方法\" 

1.糖尿病患者的诊室血压≥140/90mmHg时，应开始用降压药物。

 

2.小于65岁的患者，降压目标为130mmHg，如果患者耐受良好，也可降至120-130mmHg，一般不建议降至120mmHg以下。≥65岁的患者，收缩压降至130-139mmHg。舒张压降至70-80mmHg，一般不建议低于70mmHg。

 

3.建议起始治疗即用单片制剂(复降片)，可选择“普利类”或“沙坦类”二者之一与钙通道阻滞剂(氨氯地平)或噻嗪类(氢氯噻嗪)/噻嗪样(吲达帕胺)利尿剂的单片复方制剂。国内这些单片复方制剂都有，并大多已进入医保。

 

不建议“普利类”与“沙坦类”作用机制和环节类似的降压药联合应用。

\"糖尿病高血压治疗方法\" 

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","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1552,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558168627363,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566481070840,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558168627363,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"425fdc1d2e6111e8a3d800163e04584d","isDel":0,"createAt":1521785589502,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"求一红颜笑看余生","password":"zx13401068656","level":0,"nickName":"找良医网问答助手","realName":null,"signName":"找良医网问题解答专员！","head":"http://01luntan.com/ly_img/1539831954338.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"1769604826@qq.com","address":null,"identityType":5,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25561","isDel":0,"createAt":1558103436171,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高血压的危害和严重性有哪些","content":"

血液在血管内流动需要动力，其源动力来自于心脏。心脏不间断的舒张和收缩，不断将血液喷射入血管内，血液才能源源不断的向前流动。在血液流动过程中会对血管壁产生一定压力，这就是血压。一定水平的血压是维持生命活动的根本保障。如果血压过低，新鲜血液就很难被输送到全身各处，就会出现严重健康问题。但是，如果血压过高，同样会对人体产生严重危害。高血压的危害和严重性有哪些?

 \"高血压的危害和严重性有哪些\"

1. 促进动脉粥样硬化斑块形成

动脉粥样硬化斑块是多数心梗和脑梗发病的主要基础。动脉斑块逐渐增大可以造成供应心脏或脑血液的动脉血管的狭窄，导致心肌缺血或脑缺血。如果斑块突然破裂，可以使这些动脉血管迅速闭塞，心肌或脑组织失去血液供应，就会发生心梗或脑梗。动脉斑块是如何形成的呢？我们的动脉管壁分三层，内膜、中层和外膜。所谓动脉斑块就是胆固醇进入了血管内膜下，越积越多，最后形成斑块。在健康人，我们的动脉内膜非常完整严密，胆固醇很难进入血管壁。但发生高血压后，由于血管内压力明显增高，就会破坏血管内膜完整性，使其出现裂隙，胆固醇就很容易进去了，就可能形成斑块。所以说，高血压是导致动脉粥样斑块形成的重要原因，也是心梗脑梗的罪魁祸首。其实不仅是心脏和脑，高血压对眼底血管、对四肢血管、对肾动脉都可以产生相似的危害，并由此导致失明、肢体缺血和肾衰。

 

2. 导致左心室肥厚、心衰和脑梗

我们的心脏是一个泵，不停的往血管里面排血。如果血管里面压力过高，心脏排血的阻力就越大。久而久之，心脏的左心室（向动脉排血的主要器官）就会增厚、扩张。左心室肥厚或扩张后，很容易发生室性心律失常（严重者可能诱发猝死），还会使心脏排血能力下降，进而发生心衰。心衰是很严重的一种疾病，其对寿命的影响与恶性肿瘤相似。长期高血压也可以引起心房（心脏内另一个重要部位）扩张，心房扩张后很容易发生房颤。发生房颤后，心房内部容易形成血栓，血栓脱落就会堵塞脑动脉，导致脑梗死。

 

3. 脑出血

长期高血压会导致颅内小动脉硬化和微血管瘤，使得脑组织内的血管容易破裂。一旦这些血管破裂，就会发生脑出血，这也是一种致死致残率非常高疾病。

 

4. 肾衰

长期高血压使肾小球内压力增高， 造成肾小球损害和肾微小动脉病变。同时，高血压还会导致供应肾脏血液的肾动脉发生动脉斑块并使血管狭窄，造成肾脏缺血。这些病变不及时治疗，最后都可能引起肾衰。

 

5. 眼病

高血压可损害眼底动脉、视网膜、视神经，造成眼底视网膜小动脉硬化、视网膜出血和渗出、视网膜中央动脉或静脉阻塞、视乳头水肿萎缩、黄斑变性等，导致视力下降，严重者失明。

 

6. 下肢动脉

与供应心脏和脑部血液的动脉相似，高血压也可导致供应两腿血液的血管狭窄和闭塞，引起下肢缺血。这种病轻者表现为远距离行走后脚部疼痛，重者可以发生脚部溃烂、坏死，甚至需要截肢。

 

7. 主动脉

我们的胸腔和腹腔内有一根很粗大的血管，叫做主动脉。血压严重升高时可能造成主动脉内膜撕裂，发生一种叫做“主动脉夹层”的疾病。这种疾病非常凶险，死亡率很高，很多患者根本没有抢救的机会。

由此可见，高血压对人类健康具有很大的危害，因此我们应该积极预防。一旦发生高血压，应该积极进行生活方式干预，必要时应用药物治疗，把血压控制在较安全的水平之内。无论有没有症状，都不能忽视高血压。

 \"高血压的危害和严重性有哪些\"

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","barId":"1920","topicTypeId":"2","topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1655,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558103436175,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566052268266,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558103436175,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25559","isDel":0,"createAt":1558102551740,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":1558102616531,"updateBy":"84404015eff611e6a61c00163e04584d","updateName":"13911686944","userId":"84404015eff611e6a61c00163e04584d","title":"正常人一天血压波动有多大","content":"

血压波动是生理现象，那么正常人一天血压波动有多大呢？


我们人体有一套完善而复杂的血压调节机制，可以根据身体内部与外界环境的需要随时调高或者调低血压，以适应我们身体的需要。人体血压在一天不同时刻、在不同环境下会有很大的波动，这种波动有多大呢？这几天我做了一个有趣的实验，多次测量血压并记录。现在拿出几个有代表性的数据给大家看看（请忽略血压计上的时间，没有校对，使用的也不是一个血压计），有兴趣的话也可以自己试一试

 \"正常人一天血压波动有多大\"

\"正常人一天血压波动有多大\"

\"正常人一天血压波动有多大\"

\"正常人一天血压波动有多大\"

\"正常人一天血压波动有多大\"

\"正常人一天血压波动有多大\"

这几个数据给我几点启示：1. 测量血压一定要在指南所建议的标准条件下测量；2. 情绪因素与脑力活动对血压水平影响很大；3. 休闲性的户外散步是降低血压的好方法；4. 饮酒后短期内血压可以有明显降低（特别声明，千万不要靠饮酒降压，因为长期喝酒会增加高血压的患病风险）；5. 感觉头晕、头痛、眼胀等不适一定注意测量血压；6. 血压间断的波动性升高，或许是持续性高血压的早期信号，我应该多加注意了。


\"正常人一天血压波动有多大\"

下载二维码，微信识别，观看丁荣晶教授主讲三小时的《心肌梗死与心肌康复》

\"正常人一天血压波动有多大\"

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","barId":"1920","topicTypeId":"2","topicThemeId":"1029","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1657,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558102551741,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566051446568,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558102551741,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25552","isDel":0,"createAt":1558096726168,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"血压低压降到多少算正常值","content":"

血压水平持续增高（即高血压）是心血管疾病的重要危险因素，而血压水平过度降低同样会因重要脏器血流灌注不足而对机体造成不良影响。因此，血压水平与心血管危险性之间存在着J型曲线关系。血压低压降到多少算正常值?充分认识这一现象对于制定科学合理的降压治疗策略具有重要意义。

 \"血压低压降到多少算正常值\"

Franklin等人完成的一项研究表明，在有心血管病史的单纯收缩期高血压患者中，与舒张压70-89mmHg的受试者相比，舒张压＜70mmHg的患者发生心血管事件的风险增高数倍（Hvpertension.2015;65:299-305）。这一研究提示，血压水平与不良心血管事件之间存在J型曲线关系。Messerli等曾以INVEST研究中22576例伴有冠心病的高血压患者为基础进行事后分析，结果发现与其他患者相比，舒张压60~70mmHg患者组的主要终点发生率增高了近1倍，舒张压≤60mmHg组的主要终点发生率增高了2倍。根据此研究数据，作者认为血压为112/72mmHg时其心血管风险最低。此前发表的Framingham研究和SHEP研究也证实了J形曲线的存在，提示当舒张压水平低于60mmHg左右时患者心脑血管事件危险性逐渐增加。上述研究均提示，对于已经发生冠心病的患者，舒张压过低可能会增加复发冠状动脉事件的风险。因此，降压治疗应遵循积极适度的原则，对于已经发生心血管病的患者，应避免过于激进的降压策略，特别是应避免舒张压过度降低。

 

　　现行国内外降压治疗指南均针对不同基线特征的患者推荐了相应的降压目标值，但只有欧洲指南明确指出高血压患者服用降压药物治疗时血压不应低于120/70 mmHg。对于一般高血压患者，或许确定血压低限并不重要。但对于单纯收缩期高血压患者，常表现为收缩压显著升高、而舒张压正常甚至偏低，这些患者既要积极控制过高的收缩压，又要避免舒张压过度降低。这为临床实际操作增加了很大难度。这种情况下，为不同基线特征（如有或无冠状动脉疾病）的患者确定适宜的血压低限具有更为重要的意义。在保证舒张压不低于某一界值的前提下努力控制收缩压，有助于更大程度的降低患者心血管风险。由于相关研究证据不足，目前尚难以确定明确的血压低限。

 

　　我国现行的高血压指南认为，如患者有严重冠心病、糖尿病或年龄大于60岁，舒张压应维持在60mmHg以上。对于老年高血压且伴脉压大的患者，降压治疗可导致很低的舒张压（＜60mmHg）。因此必须警惕，并仔细评估各种不良反应，尤其那些与心肌缺血共存的不良症状和体征。对于舒张压＜60mmHg的患者，若收缩压＜150mmHg可不用降压药物；若收缩压150-179mmHg，可在密切观察下小剂量应用降压药；若收缩压≥180mmHg，可小剂量应用降压药。在临床上不能千篇一律的遵循某一标准，需要根据患者具体情况、特别是降压治疗中患者的反应适时作出调整。一些冠心病患者，当舒张压低于70mmHg时可能会出现心肌缺血相关症状，此时应该适度降低降压治疗强度。对于体质虚弱的患者亦应避免血压过度降低。

\"血压低压降到多少算正常值\"

欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说



","barId":"1920","topicTypeId":"2","topicThemeId":"1034","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1679,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558096726169,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1566045534850,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558096726169,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25545","isDel":0,"createAt":1558021557676,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"如何正确测量和判断高血压","content":"

如何正确测量和判断高血压我们先从血压是怎样形成的讲起。

 

心脏的收缩、舒张交替进行，推动血液在心脏和血管组成的密闭循环系统内持续流动。血液在血管内流动时对血管壁造成的侧压力称为血压。理想的血压值是＜ 120/80 mmHg。

 

两上肢的血压可有轻度差别。若两上臂的血压差别较大，应按高的一侧的血压值来诊断高血压和评估疗效。若两侧血压差值超过20 mmHg，应注意检查是否由病理性因素所致。

 \"如何正确测量和判断高血压\"

脉压是收缩压与舒张压的差值， 正常为30 ～ 40 mmHg。脉压增大是动脉硬化的一个指标。

 

无论是健康人还是高血压患者，血压都有昼夜节律的变化。白天，人体较活跃，身体需要更多的氧和营养，相应地需要大量的血液来输送，血压就高些。夜里睡眠时只需最小限度的氧和营养，血压就低些。大多数人一日24 小时的血压节律是，随早晨觉醒起床而上升，日间持续处于较高状态；晚上血压逐渐下降，在睡眠过程中降到最低，夜间1 ～ 3 点为最低谷。

 

季节和环境温度的变化会使血压波动，冬季血压水平要比夏季高些。血压也会因运动、排泄等活动和兴奋、紧张、愤怒等情绪变化而升高。健康人血压暂时升高会很快恢复，如果出现慢性血压持续较高的状态，就成了高血压。

 

高血压的定义——在未使用降压药物的情况下， 非同日3 次测量上肢血压，收缩压≥ 140 mmHg 和（或）舒张压≥ 90 mmHg 考虑为高血压。若在家中自己测量，血压超过135/85 mmHg则提示血压增高。

目前90% 以上的高血压原因尚不明确，称为原发性高血压。如果血压高是由于某些疾病（如肾脏病、原发性醛固酮增多症、嗜铬细胞瘤等）引起的，称继发性高血压。继发性高血压服药治疗的效果差，应当针对病因治疗，去除病因后血压能有效降低甚至恢复正常。

 

高血压的易患对象——高血压的易患对象有： 摄盐过多、进食高热量食物而缺乏活动所致的超重/ 肥胖、长期过量饮酒、吸烟、缺乏运动、长期精神压力大、有高血压家族史、男性≥ 55 岁及更年期后的女性。有以上危险因素之一者，建议每6 个月测量1 次血压，并改变不良生活方式，预防高血压的发生。

 

我国心脑血管病现患人数约3亿。每年约有350 万人死于心脑血管疾病，占总死亡原因的首位（41%），平均每10 秒钟就有1 人死于此病。我国现有脑卒中患者至少700 万，心肌梗死患者250 万， 这些患者超过一半存在不同程度的残疾。心脑血管病死亡人群中，一半以上与高血压有关。

 

如何早期发现、确诊高血——大多数高血压患者通常无症状，很多患者根本不知道自己血压高， 是体检或偶尔测量血压时才发现血压高，故高血压被称为“无声杀手”。有些患者是在发生了心脏病、脑卒中、肾衰竭需要透析时才知道自己的血压高。所以建议正常血压成人每2 年至少测量1 次血压。强化各级医疗机构首诊测血压制度，到医疗机构就诊，不管看什么病，均要测量血压，以便早发现、早治疗。有头晕、头痛、眼花、耳鸣、失眠、心悸、气促、胸闷、肥胖、睡眠打鼾、乏力、记忆力减退、肢体无力或麻痹、夜尿增多、泡沫尿等症状， 提示可能血压高，要尽快就诊。

\"如何正确测量和判断高血压\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1464,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558021557677,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1565970376901,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1558021557677,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25511","isDel":0,"createAt":1557841660203,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"吃降压药血压降不下来怎么办","content":"

吃降压药血压降不下来怎么办高血压，特别是经过一种将药物治疗两周后，如果血压控制不满意时应该咋办？——1）换另外一种药物？2）增加药物剂量？3）再加上一种药？

 \"吃降压药血压降不下来怎么办\"

对于多数人来讲，应该首先采取第三种方法，就再加上另一种降压药，即联合使用两种药物治疗。推荐的联合治疗方案包括：1）普利+利尿剂（氢氯噻嗪或吲达帕胺）、2）普利+地平、3）沙坦+利尿剂、4）沙坦+地平、5）地平+利尿剂、6）地平+b阻滞剂（美托洛尔、比索洛尔、阿罗洛尔等）。

 

不应该联合使用1）普利与b阻滞剂、2）沙坦与b阻滞剂、3）普利与沙坦。这样联合或者效果很差，或者副作用更多。

 

但是少数患者可以采取第二种方法，即增加药物剂量。例如高血压患者合并尿蛋白的时候，应该选用普利或者沙坦类药物治疗，经过一片药物治疗两周后血压控制不满意，可以将原用的药物由1片加量为2片。这样处理后如果血压仍不能满意控制，再加其他种类的药物。

 

所以降压药物的调整要因人而异，无法千篇一律的回答

\"吃降压药血压降不下来怎么办\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1540,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1557841660204,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1565790472315,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1557841660204,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25502","isDel":0,"createAt":1557762733171,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"为什么吃了降压药头晕是怎么回事","content":"

吃了降压药头晕这种情况并不少见，为什么吃了降压药头晕是怎么回事

 \"为什么吃了降压药头晕是怎么回事\"

确实有一些高血压患者，平时没有症状，但应用降压药物降低血压水平后反而出现头晕、头痛等不适。这是因为这些患者长期患高血压，脑血管已经适应了较高水平的血压，所以即便血压明显增高自己也不会有不舒服的感觉。但用降压药后血压开始降低，患者脑血管不能及时适应，反而出现了类似低血压的症状，比如头晕等。


服降压药后头晕，应该注意加强血压监测，首先排除低血压。有些人对于降压药物的反应很敏感，用药后很快会出现血压下降，如果属于这种情况，要及时减小降压药物剂量。


如果出现头晕症状，但测量血压仍然较高，也可以适当减小降压药物剂量，以免血压下降太快。一般要求，高血压患者用药后在2周左右的时间内将血压降到理想水平。这样可以有效避免与血压下降相关的不适症状。高血压患者（特别是病程较长的患者或者老年患者）应努力避免血压下降过快。选用长效降压药物、从小剂量开始用药，可以减少这种情况的发生。

\"为什么吃了降压药头晕是怎么回事\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1539,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1557762733172,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":1,"digestEffectTime":1565711543422,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1557762733172,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"84404015eff611e6a61c00163e04584d","isDel":0,"createAt":1486775274108,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"13911686944","password":"000000","level":0,"nickName":"赵金亮","realName":null,"signName":"c","head":null,"phone":"13911686944","mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":1,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"25497","isDel":0,"createAt":1557760311251,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"血压超过130就不舒服需要治疗吗","content":"

血压超过130就不舒服需要治疗吗，答案是肯定的，需要治疗。

 \"血压超过130就不舒服需要治疗吗\"

这是因为 虽然血压达到140/90mmHg才诊断高血压，但是我们正常血压是＜120/80 mmHg，超过这个数值就算高血压前期了。如果不注意干预，随后发生高血压的风险会很大。所以血压超过130/80 mmHg一定要积极干预。

 

对于血压的治疗包括非药物治疗和药物治疗。非药物治疗主要是纠正不健康生活习惯，例如少吃高热量的食物（面食、油、肥肉等）、增加运动、减轻体重、少吃盐、精神放松、生活规律、保证充足睡眠，这些都是降低血压的有效措施。

 

当血压超过130/80mmHg但不超过140/90mmHg时，多数人不需要应用降压药物治疗。但如果已经发生了糖尿病、冠心病、心衰、伴有蛋白尿的肾病等情况，就应该更加积极的控制血压，把血压降低到130/80 mmHg以下。这种情况下，很多人就应该服用降压药物了。因为这样的患者需要更为严格的控制血压，否则心脏、脑、肾脏会受到更大的危害。

 

高血压的危害很多，对心脑肾都有影响。对于高血压而言，防治的越早、效果越好，等到高血压已经导致心脑血管疾病后再治疗，效果要差很多了。

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欢迎扫描二维码加入QQ群，听听病友们怎么说，听听医生怎么说


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