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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":1658,"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":"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":1574,"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":"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":1565,"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":"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":1593,"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":"25490","isDel":0,"createAt":1557667991770,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高血压需检查的基本项目有哪些","content":"

刚刚诊断高血压的病人，还应该进行一些相关检查，以便制定更为合理的治疗方案。那么高血压需检查的基本项目有哪些？

 \"高血压需检查的基本项目有哪些\"

检查有无心脑肾疾病

伴或不伴心脑肾疾病，血压控制目标是不一样的。例如伴有冠心病或肾脏疾病的高血压患者，应将血压控制在130/80 mmHg以下，而不是140/90 mmHg。另外，伴有不同疾病的高血压患者应该选择的降压药也是不同的。例如，伴有冠心病时应首先选择b-受体阻滞剂，伴有慢性肾病时则应首先选择普利类或沙坦类药物。

 

检查心电图与心脏超声
这两项检查有助于评估是否患有冠心病、左心室肥厚等心脏疾患。

 

检查血肌酐与尿蛋白

了解有无合并肾脏病变。

 

检查血糖

合并糖尿病时应将血压控制在130/80 mmHg以下，并且应该首先选择普利类或沙坦类降压药物。

 

检查血脂

血脂检测结果有助于确定是否需要服用他汀。高血压患者常合并血脂异常。不同高血压患者低密度脂蛋白胆固醇的理想水平是不一样的。如果只患有高血压，不伴有其他疾病，把低密度脂蛋白胆固醇控制在3.4mmHg以下即可；如果高血压合并糖尿病，则应将低密度脂蛋白胆固醇控制在1.8 mmol/L以下。这样的患者多需要接受他汀治疗。

 

检查有无颈动脉或下肢动脉疾病
这些大血管存在明显狭窄（≥50%）时也应该更为积极的控制血压，并应用他汀和阿司匹林治疗。

 

其他

除上述各项外，确诊高血压后还应告诉医生自己是否吸烟、身高体重是多少、父母有无心血管病等，这都有助于医生更为准确的制定治疗决策，特别是确定是否需要服用阿司匹林和他汀。

\"高血压需检查的基本项目有哪些\"

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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":1557667991771,"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":1565616799611,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1557667991771,"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":"25420","isDel":0,"createAt":1556549865219,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"脉压差很大考虑什么病","content":"

高血压朋友知道不知道脉压差是怎么回事,如果脉压差很大考虑什么病呢

 

脉压俗称“脉压差”，指的是收缩压（俗称“高压”）与舒张压（俗称“低压”）之间的差值。例如，一个人的血压为120/80 mmHg，他的脉压就是120-80=40 mmHg；如果一个人的血压是170/70 mmHg，他的脉压就是170-70=100 mmHg。一般中青年健康人的脉压在30-50 mmHg之间。如果脉压超过60 mmHg，则被视为脉压增大。有研究发现，脉压增大的高血压患者更容易发生心脏疾病或脑血管病。

 \"脉压差很大考虑什么病\"

很多朋友都知道，老年人、特别是老年高血压患者，常常表现为脉压增大，即收缩压明显增高，而舒张压正常甚至降低。这是为什么呢？下面这张图片有助于我们了解老年人脉压增大的原因。

 

由上图可见，在青少年阶段，我们的血压（包括收缩压和舒张压）都会随着年龄增长而升高。到了50-60岁左右时，收缩压继续随年龄增长而增高，但舒张压则不再增高，而是处于一个相对稳定的平台期。进入老年期后，收缩压继续增高，而舒张压却开始逐渐降低，二者之间的差值越来越多，所以脉压就越来越大。

 

导致脉压增大的原因很多，最常见的原因是动脉硬化，动脉血管的弹性变差，心脏排血时所起到的缓冲能力下降，使得血压波动增大。老年人一些常见疾病如主动脉瓣关闭不全也会进一步加大脉压。对于脉压过大的老年高血压患者，进行降压治疗时有一定特殊性，需要在医生指导下积极合理的用药治疗。

 

对于收缩压明显增高、但舒张压不高的人，可以根据具体情况选择降压药物。其原则是，在保证舒张压不低于60 mmHg（最好不低于65 mmHg）的前提下，应用地平类、沙坦类、普利类或者利尿剂治疗，用药要从小剂量开始，根据血压情况逐渐调节剂量。

 

如果收缩压升高、但舒张压很低（低于60 mmHg），则要兼顾收缩压和舒张压。如果收缩压超过180 mmHg，即便舒张压低于60 mmHg，也要积极治疗，把收缩压控制在160 mmHg；如果收缩压只是轻度升高（没超过150 mmHg），但舒张压较低，可以不用药。

 \"脉压差很大考虑什么病\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1608,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556549865220,"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":1564412308706,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556549865220,"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":"25358","isDel":0,"createAt":1556116899013,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"血糖血压血脂偏高会怎样","content":"

常有人问，血糖血压血脂偏高会怎样，有害处吗？

 

先说说血压吧：

对于健康人而言，正常血压是低于120/80mmHg，超过这个数值就算偏高了。如果血压超过140/90mmHg就算高血压了。研究发现，当血压超过115/75mmHg时发生心脑血管并发症的风险就会逐渐增加。所以只要血压偏高就会对心脑血管产生不利影响。

所以说，对于没有高血压的健康人，同样应该关注血压，并努力把自己血压维持在120/80mmHg以下。通过合理膳食、规律运动、维持理想体重、少吃盐、生活规律等措施，有助于避免血压升高。对于没有心脑血管疾病、慢性肾病或糖尿病者，如果血压不超过140/90mmHg，不需要应用降压药物。如果患有上述疾病，则应咨询医生，视情况应用药物将血压控制在130/80mmHg以下。

实际上，血压为139mmHg与血压为141mmHg时，发生心脑血管病变的风险并无本质差别。将140/90mmHg作为高血压的诊断标准存在一定主观性。这个数值不是绝对的。因此不要以为血压没有超过140/90mmHg就不需要关注血压。

 \"血糖血压血脂偏高会怎样\"

再说说血脂：

各项血脂指标中最重要的是低密度脂蛋白胆固醇。胆固醇是形成动脉粥样斑块的主要“原料”，而动脉粥样斑块是发生心梗、脑梗的基础。胆固醇越高就越容易形成动脉粥样斑块，也就越容易发生心梗、脑梗。所以说在一定范围内，低密度脂蛋白低一些更好。虽然从化验单上看你的胆固醇还在正常范围内，但是这不等于你的心脑血管就是安全的，特别是同时存在高血压、糖尿病、吸烟等危险因素时，更容易发生心脑血管病，因此胆固醇应该控制的更低一些。所以，胆固醇“偏高”当然是有害的，应该积极控制。

 

血糖同样如此。

健康人的空腹血糖为3.9-6.1 mmol/L，如果超过6.1 mmol/L就算血糖增高（实际上空腹血糖超过5.6 mmol/L就算偏高了），但只有≥7.0 mmol/L才能诊断糖尿病。当空腹血糖处于6.1-6.9 mmol/L范围内时称作空腹血糖受损，在专业领域将其视为糖尿病前期，意思是说如果不及时处理，将来很可能会发展为糖尿病。

健康人餐后血糖会高于空腹血糖，但不会超过7.8 mmol/L。当餐后血糖≥11.1 mmol/L后才能诊断糖尿病。当餐后血糖处于7.8-11.0 mmol/L之间时，称为糖耐量受损，这也属于糖尿病前期，是未来发生糖尿病的高危人群。应该加强预防，应该认真对待，以免发展成为糖尿病。如果继续山吃海喝、继续懒得运动、继续大腹便便，血糖就会继续升高，很可能在几年之后发展成为糖尿病，发生心脑血管疾病的风险也会随之增高。

 

所以说，血压、血脂、血糖“正常偏高”就会对身体产生危害了，就应该充分重视起来，把心脑血管病的风险降到最低水平。

\"血糖血压血脂偏高会怎样\"

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\"血糖血压血脂偏高会怎样\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1404,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556116899014,"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":1563980489980,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556116899014,"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":"25345","isDel":0,"createAt":1556029030658,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"量血压左手右手哪个准","content":"

我国高血压患者人数很多，占据着目前慢性病患者的绝大一部分。那么，量血压左手右手哪个准呢？

首先，我们先来看看高血压的标准。


按照2017年美国版的高血压指南，已对高血压的标准做了调整。140/90mmHg改为130/80mmHg，其目的是为了有效预防并发症的发生，让患者可以更加重视，及早开始控制血压。

1、血压测量左手还是右手？

关于左手还是右手，众说纷纭。一种说法是以左手为准，因为心脏在左边，而左手离心脏更近。但是在实际临床上，并非如此。在国际上没有明确的规定量左手还是右手。唯一的标准就是哪只手测量出来的血压高，就以哪只手为准。

通常，测量的结果是右手的血压高于左手，差不多有10mmHg的差距。但是对于高血压患者，不应该拘泥于左手还是右手，而是双手都要进行血压的测量。

 \"量血压左手右手哪个准\"

2、血压测量几次？

为了更加准确的掌握患者血压的情况，一般需要测量2次，取两次测量结果的平均值即可。如果两次测量的结果差距较大，超过了5mmHg，那么可能存在操作不当，需要重新测量血压。

3、测量血压前需要注意什么？

只需要做好3点，一是不要剧烈运动，情绪不要过于激动，让自己的身体和心情保持平静。二是不要喝咖啡，抽烟，喝酒。三是不要穿紧身衣，尤其是衣袖紧身的衣服。

 

4、各种血压计哪个更靠谱？

汞柱式血压计：需要用到水银柱，袖袋，听诊器，所以必须由专业的医生和护士来进行操作，这种血压计也是目前医院比较常用的，测量很准确。

腕式电子血：多为家用，高血压的患者用这种电子血压计来作为日常血压的监测十分方便，操作很简单，就算是老人也可以熟练掌握，血压结果直接数字显示，读取也容易。缺点就是，相对没有那么准确，使用时间久了还需要进行校对。因此，使用此类血压计的患者，还是需要定期到社区医院或者药店进行测量哦！

 

臂式电子血压计：这种血压计也很常用，没有汞柱式血压计那么麻烦，也比腕式血压计测量更精确。电子血压计最好选用臂式。

 

\"量血压左手右手哪个准\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1461,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556029030659,"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":1563891442577,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556029030659,"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":"25270","isDel":0,"createAt":1555422170696,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"脉压差大的原因和危害与血压压差小有什么危害","content":"

测量血压可以得到3个参数：收缩压（即平时人们说的高压）、舒张压（平时人们说的低压）、脉压（有人称为脉压差）。今天我们探讨下脉压差大的原因和危害与血压压差小有什么危害

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我们的心脏一直在不停息的收缩和舒张。舒张的时候心脏里面灌满了血液，收缩的时候便把血液排放到动脉血管内并流向全身，向各组织器官输送氧和其他营养物质。

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心脏收缩的时候，会在瞬间将大量血液排向大动脉，形成一个较高的压力，这个压力就是收缩压（高压）。血液向前流动的同时，还会使动脉血管扩张，从而储存起来很多能量。心脏舒张的时候不再向血管内排放血液，但是因为收缩期血管扩张、储存了很多能量，所以在舒张期血管会因为弹性而回缩，继续推动血液向前流动，所以血管内仍然保持一定压力。这个压力就是舒张压（低压）。收缩压和舒张压的差值就是脉压。例如，一个人的血压为120/80 mmHg，他的脉压就是120-80=40 mmHg；如果一个人的血压是170/70 mmHg，他的脉压就是170-70=100 mmHg。一般中青年健康人的脉压在30-50 mmHg之间。

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因为上述机制，收缩压和舒张压的高低受到动脉血管弹性的显著影响。如果动脉弹性很差，缓冲功能明显下降，就会出现收缩期压力很高、舒张期压力很低，脉压很大，这就是单纯收缩期高血压。这种情况主要见于老年人（年龄越大、血管弹性越差）。反之，如果收缩压不高而舒张压增高，脉压就会较小，这就是单纯舒张期高血压，这种类型主要见于50岁以下的中青年人。

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收缩压增高、舒张压增高、脉压增大，这三种情况谁的危害更大？从危害性而言，应该是收缩压＞脉压＞舒张压。这就是说，收缩压增高的危害最大，其次是脉压增大，最后才是舒张压升高。有人问：一个人血压是170/110 mmHg，另一个人是170/70 mmHg，谁的危险更大？多数学者认为170/70 mmHg的危害比170/110 mmHg的危害更大，因为前者脉压更大。

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【脉压差太大】

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很多朋友都知道，老年人、特别是老年高血压患者，常常表现为脉压增大，即收缩压明显增高，而舒张压正常甚至降低。这是为什么呢？下面这张图片有助于我们了解老年人脉压增大的原因。

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\"\"\"脉压差大的原因和危害与血压压差小有什么危害\"

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由上图可见，在青少年阶段，我们的血压（包括收缩压和舒张压）都会随着年龄增长而升高。到了50-60岁左右时，收缩压继续随年龄增长而增高，但舒张压则不再增高，而是处于一个相对稳定的平台期。进入老年期后，收缩压继续增高，而舒张压却开始逐渐降低，二者之间的差值越来越多，所以脉压就越来越大。\n

 

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导致脉压增大的原因很多，最常见的原因是动脉硬化，动脉血管的弹性变差，心脏排血时所起到的缓冲能力下降，使得血压波动增大。老年人一些常见疾病如主动脉瓣关闭不全也会进一步加大脉压。对于脉压过大的老年高血压患者，进行降压治疗时有一定特殊性，需要在医生指导下积极合理的用药治疗。

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【脉压差太小】

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脉压过小说明收缩压和舒张压的数值相差较少。出现这种情况主要有3种原因，一是动脉弹性很好（这倒是好现象）。血管弹性越好，心脏收缩期血管内所储存的能量就越多，舒张期血管内的压力就越高；二是外周血管阻力增大（常见于肥胖、酗酒、运动少、精神紧张、压力大）。外周血管阻力增大，使得心脏收缩期血液向全身传输更少，到了舒张期血管内仍然存在较多血液，所以舒张压就会增高；三是心率快（年轻人职场压力大，精神紧张，喝酒多，喝浓茶浓咖啡多，睡眠不足，运动过少，这都会导致心率增快）。心率越快，每两次心跳之间所隔的时间就越短，舒张压就会越高。所以心率快的人更容易出现舒张压增高，而心率慢的人更容易发生单纯收缩期高血压。

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由上可见，脉压小主要是由于舒张压增高所致。咋办？首先要做的就是节食、运动，把体重减下来。肥胖的人更容易发生舒张压增高。只要减轻体重，很多人的舒张压可以降到正常，脉压也随之恢复正常。其次，少喝酒、不喝浓茶浓咖啡，充足睡眠，生活规律，这些措施对于控制舒张压增高效果很好。如果经过上述措施血压仍不能得到满意控制，那就在医生指导下接受药物治疗吧。高血压必须控制，该用药就用药，不要犹豫！

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\"脉压差大的原因和危害与血压压差小有什么危害\"

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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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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1832,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1555422170697,"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":1564412710537,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1555422170697,"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":"25171","isDel":0,"createAt":1554887695447,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高压正常,低压高怎么办","content":"

    很多中青年人测血压发现高压正常,低压高，这是为什么呢？这种高压正常,低压高怎么办呢，其实很简单，主要是因为你的生活习惯不健康！

 

    首先给大家讲讲高压、低压是怎么形成的。

    我们的心脏一直在不停息的收缩和舒张。舒张的时候心脏里面灌满了血液，收缩的时候便把血液排放到动脉血管内并流向全身，向各组织器官输送氧和其他营养物质。心脏收缩的时候，会在瞬间将大量血液排向大动脉，形成一个较高的压力，这个压力就是收缩压（俗称高压）。血液向前流动的同时，还会使动脉血管扩张，从而储存起来很多能量。心脏舒张的时候不再向血管内排放血液，但是因为收缩期血管扩张、储存了很多能量，所以在舒张期血管会因为弹性而回缩，继续推动血液向前流动，所以血管内仍然保持一定压力。这个压力就是舒张压（低压）。

 \"高压正常,低压高怎么办\"

    低压增高的机制主要有以下几种情况：一是动脉弹性很好（这倒是好现象）。血管弹性越好，心脏收缩期血管内所储存的能量就越多，舒张期血管内的压力就越高；二是外周血管阻力增大（常见于肥胖、酗酒、运动少、精神紧张、睡眠不足、精神压力大）。外周血管阻力增大，使得心脏收缩期血液向全身传输更少，到了舒张期血管内仍然存在较多血液，所以舒张压就会增高；三是心率快（年轻人职场压力大，精神紧张，喝酒多，喝浓茶浓咖啡多，睡眠不足，运动过少，这都会导致心率增快）。心率越快，每两次心跳之间所隔的时间就越短，心脏舒张的时候在动脉内所滞留的血液就越多，低压就会越高。所以心率快的人更容易出现舒张压增高，而心率慢的人更容易发生单纯收缩期高血压。

 

    知道了低压增高的原因，也就知道如何应对低压增高的问题了——改变不健康的生活习惯。少吃、多动、减体重，这是降低舒张压的最有效的措施。同时，不要喝浓茶浓咖啡，不酗酒，不熬夜，保证充足睡眠，生活规律，保持轻松愉悦的心情。如果能够做到这些，很多人的血压是可以恢复到正常水平的。如果做不到这些，就要及时用降压药物治疗了，不能任由高血压侵害心脑肾血管。

\"高压正常,低压高怎么办\"

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":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1752,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1554887695448,"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":1565268620295,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1554887695448,"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":"32938","isDel":0,"createAt":1736754413090,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","title":"低压高是不是血管堵塞","content":"

回答粉丝朋友个问题：低压高是不是血管堵塞。低压高和血管堵塞关系是这样的，如果血管堵塞，它会引起血压低压高，但是低压高可能是血管堵塞引起，也可能是情绪激动、甲状腺功能亢进、吸烟等因素引起。


要注意的是，吸烟、包括长期在二手烟环境久待，都可以引起低压高，很多烟民朋友在戒烟后，血压能下降10个单位，所以吸烟朋友一定要把烟戒掉。如果你烟瘾大，可以用洞医六步轻松戒烟法轻松不遭罪戒烟。建议看看国内知名专家丁荣晶教授出版的视频图书《心肌梗死与心肌康复》，丁教授用三个小时视频，手把手教你怎么预防血管堵塞，血管堵塞以后怎么逆转血管狭窄，怎么预防冠心病心梗，怎么让心脏恢复的比发病前状态还要好，是个可以改变命运的图书，淘宝就有


","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":403,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1736754413092,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1736754413092,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"6f08827db09911e6927f00163e04584d","isDel":0,"createAt":1479808372065,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海总剑客","password":"yiren2921","level":0,"nickName":"洞医客服微信2276635444","realName":null,"signName":"洞医网提醒您：请仔细阅读产品说明书或者在医务人员的指导下购买和使用，禁忌内容或者注意事项详见说明书","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"756954943@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"32857","isDel":0,"createAt":1735196319221,"createBy":"6f08827db09911e6927f00163e04584d","createName":"海总剑客","updateAt":0,"updateBy":null,"updateName":null,"userId":"6f08827db09911e6927f00163e04584d","title":"低压高是血管堵塞吗","content":"

回答粉丝朋友个问题：低压高是血管堵塞吗。低压高也就是临床上说的舒张压高，主要和遗传因素、精神因素、饮食因素、高血压、甲亢等原因有关。如果你的血压低压高，可以每天适度进行有效有氧运动，运动结束后，血压一般能降低10个单位。


血压低压高的朋友，一定要注意进行戒烟戒酒，如果你吸烟多年烟瘾大，可以用洞医六步轻松戒烟法轻松不遭罪戒烟，很多老烟民都是用这个方法戒烟的。


","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":409,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1735196319221,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1735196319221,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"6f08827db09911e6927f00163e04584d","isDel":0,"createAt":1479808372065,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"海总剑客","password":"yiren2921","level":0,"nickName":"洞医客服微信2276635444","realName":null,"signName":"洞医网提醒您：请仔细阅读产品说明书或者在医务人员的指导下购买和使用，禁忌内容或者注意事项详见说明书","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":"756954943@qq.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110108","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"27088","isDel":0,"createAt":1569488954122,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"为什么一天的血压都不一样","content":"

在丁荣晶教授《心肌梗死与心肌康复》读者交流群里，有高血压病人问，为什么一天的血压都不一样？我一天测很多次血压，每次都不一样，可怎么办呀？找良医网在本文中为您解答这个知识点。

\"为什么一天的血压都不一样\" 

人的血压不是恒定的，血压本身有昼夜节律的变化，而且受诸多内外环境的影响，有一定的波动是正常现象。部分患者过于紧张，对血压过分关注， 测血压过于频繁， 有些患者甚至因自测的几次血压值随意调整药量，这样反而影响降压效果，也不利于血压的稳定。正确的做法是，将自测的血压记录下来，就诊时供医生参考，是否需要调整药物由医生来判断，对自测血压有疑问也可咨询医生。      

 \"为什么一天的血压都不一样\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1825,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1569488954123,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1569488954123,"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":"26276","isDel":0,"createAt":1566033420941,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"血管堵与血压的关系","content":"

在平时看到很多病人问，血管堵与血压的关系是怎么回事？高血压会造成血管堵塞吗？找良医网告诉你，这是一个很好的问题。能否说，高血压肯定会或者肯定不会造成血管堵塞？

\"血管堵与血压的关系\" 

医学和物理现象不一样。如从物理学来说苹果肯定要落下来，但医学上并不是肯定的因果关系。医学上的问题很多是概率问题。就是说，有高血压的人，发生血管堵塞的概率比较大；反过来也一样，发生血管堵塞的人，有高血压的概率比较大。

 

很多喷子说，你看，我有高血压不吃药也没事呀，没有血管堵塞啊？

 

这和吸烟是一样的道理。吸烟的人得心脏病和肿瘤的概率高，但并不是每个吸烟的人在现在或者未来都会得冠心病或肿瘤。

 

如果用专业的话来说，高血压是血管堵塞的一个危险因素，好好治疗高血压就会减少血管堵塞的危险。

 

我个人认为，高血压实际上是一个反映血管功能和状态的指标。血压高的人，往往是动脉僵硬度较高，可能已经存在一定程度的动脉粥样硬化了。同时，高血压也促使动脉粥样硬化的进程。因为，血压高会使血管受力比较大，对血管壁造成一定的破坏，更容易造成堵塞。

 

因此，我认为这个问题的答案是：高血压促进动脉堵塞，而治疗高血压可以减缓动脉堵塞的进程。要最大程度的减缓堵塞，还需要控制其他导致动脉堵塞的危险因素，比如：吸烟、高脂血症、肥胖、糖尿病等。        

\"血管堵与血压的关系\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1921,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1566033420942,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1566033420942,"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":"26059","isDel":0,"createAt":1563782942884,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"我国高血压发病率","content":"

很多人都知道高血压，想知道我国高血压发病率。也经常问，高血压有多常见？发病率多高？找良医网告诉你，目前中国高血压是每4人中有一个高血压。

\"我国高血压发病率\" 

2002年的调查数据，估计是中国有18%的成人有高血压，这是说5个人中有一个高血压。目前所说的4个人有一个人有高血压，说的是最近国家心血管病中心公布的数据。

 

患病率是指所有中国人中，有高血压的比例。

 

发病率是指每年新发或新诊断有高血压的比例。中国高血压发病率的数据相对较少，中国不多的研究提示，估计是每100人每年有3-4人发展为高血压。

 

高血压是一种与年龄密切相关的疾病。老年人发生高血压的比例高。

 

我们常听一种说法，我以前血压还低呢，不知道怎么现在高了。这就是随年龄增加，血压逐渐升高的表现。

 

国家为什么要关注高血压？就是因为高血压是一种致残致死性疾病，不把血压控制好，就会发生脑卒中，也就是中风，轻则偏瘫，重则致死。中风是我国居民的头号死亡原因。

 

研究估算人群中有多少高血压，都是通过抽样调查得到的，通过抽样得到一个率，然后再乘以人群基数。一般而言，如果抽样的人中老人多，估算出来的人数就多。这也就是为何不同研究得到的数据不同的原因。

 

目前的定义是年龄在15岁以上的人算成人，也有按18岁的。

 

现在中国有越来越多的人患高血压。有人认为这是医疗工作没有做好。恰恰相反，这是我国医疗水平越来越高的表现。

 

为什么呢？因为以前有高血压，但控制不好，很多人早早的就患了脑血管病或心脏病，去世了，有高血压的人就少了。现在医疗进步，患高血压还可生活很长时间，有高血压的人也就越来越多。

 

因此，高血压越来越多，这是我国医疗进步的表现。但从另一方面看，我国的医疗负担也会随之增加。               

 \"我国高血压发病率\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1745,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1563782942885,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1563782942885,"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":"26012","isDel":0,"createAt":1563352798388,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"高血压与心肌梗塞有关系吗","content":"

现在还经常听很多人问医生，高血压与心肌梗塞有关系吗？这个知识都已经普及了很久了，找良医网可以很明确的告诉你，高血压和心肌梗死有很大的关系，高血压是引起心肌梗死的重要原因之一。

\"高血压与心肌梗塞有关系吗\" 

高血压通过两个环节导致心肌梗死：

 

1. 促进动脉粥样硬化斑块形成。高血压损伤血管内皮，内皮损伤后，胆固醇等脂质就更容易蓄积在内皮下，形成斑块或斑块长大。

 

2. 促进斑块破裂，导致血管堵塞。在高血压的冲击下，动脉壁上的斑块容易破裂，破裂后就会有血栓形成，堵塞血管，引起心肌梗死。

 

所以，要预防心肌梗死，控制好血压很重要。                

 \"高血压与心肌梗塞有关系吗\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1870,"score":0,"partCount":0,"replayCount":1,"publishStatus":1,"publishTime":1563352798389,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1563637463894,"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":"26007","isDel":0,"createAt":1563264722292,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"高血压在什么时候最危险","content":"

经常会有高血压的患者问到，高血压在什么时候最危险？找良医网告诉你，任何时候的持续性或严重高血压都要命，尤其伴有严重症状，如剧烈头痛、胸痛，恶心、呕吐、意识不佳等。这种高血压有致命危险。

\"高血压在什么时候最危险\" 

总而言之，伴有症状的高血压都有问题。其他还可能相伴的症状包括胸口憋闷、水肿、心悸、肢体麻木、无力，遇到这些情况应尽快至医院急诊就诊。有些人血压不是很高，但由于其基线血压较低，血压到了140 mmHg以上也有症状，这都属于要尽快处理的情况。

 

另外，所有血压显著升高的人，尤其超过160 mmHg，甚至180 mmHg的人，即使没有症状，也要警惕。这种情况虽然不需要尽快到医院，但也需要处理。通过口服药物就可。最好也到医院看一下。由医生选择最适合您的降压药。

 

在紧张、生气或其他严重的创伤情况下，血压可以一过性的升高，对于一些老年人，平时血管有狭窄或斑块的情况下，也可发生严重的心脑血管问题，此时要避免过度劳累和情绪波动的发生。

 

平时血压控制不佳，是造成高血压突然升高，并发心脑血管和肾脏疾病及死亡的主要原因。因此要注意预防。               

\"高血压在什么时候最危险\" 

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1902,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1563264722297,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1563264722297,"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":"25978","isDel":0,"createAt":1562835829817,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"高血压患者压差大的原因是什么","content":"

也有很多高血压的患者问过这样的问题，高血压患者压差大的原因是什么？在医学中，脉压俗称压差，就是高压减去低压的数值，即脉压=收缩压（高压）-舒张压（低压）。

\"高血压患者压差大的原因是什么\" 

正常人在休息状态下脉压一般为30~40 mmHg，临床上把大于60 mmHg作为脉压增大的指标。脉压增大常说明动脉硬化的存在。动脉硬化，动脉壁弹性减低造成心脏将血泵入主动脉后，主动脉不能相应扩张来缓解压力，造成收缩压明显升高；而在心脏舒张期，主动脉又不能弹性回缩来维持舒张压，从而造成舒张压下降。高血压患者如果存在脉压增大，其发生心脑血管疾病的风险会增高。

 

另外，脉压增大还多见于老年退行性瓣膜病，特别是主动脉瓣退行性变后造成关闭不全，使舒张压明显降低，从而导致脉压增大。此外，还可见于风湿性瓣膜病、甲亢等疾病。       

\"高血压患者压差大的原因是什么\" 

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1861,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1562835829817,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1562835829817,"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":"25947","isDel":0,"createAt":1562575635333,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"90低压高压150严重吗","content":"

很多人都知道血压要控制，肥胖对血压有影响，那么，血压的高压和低压达到多少算是好的呢？比如，90低压高压150严重吗？今天，找良医网来告诉大家这方面的知识。

\"90低压高压150严重吗\" 

A：如果确诊是高血压，140~159/90~99 mmHg的血压属于I级高血压，虽然单就血压水平来说不是特别高，但发生脑卒中、心肌梗死、慢性肾病、外周动脉疾病等的风险已经明显升高了。需要听医生的建议开始治疗了。

 

另外，高血压严重不严重不是只看血压的，血压水平只是其中的一个指标。

 

我们首先看有没有其他的疾病。如果之前发生过心梗、脑卒中或外周动脉疾病，那么不管他血压怎么样，都是有危险的。如果是一个月内发生的，那就是很危险。

 

如果没有上述这些疾病，但是患者年龄已经80、90岁了，您说危险吗？当然，因为年纪太大了，预期寿命可能不会太长。

 

年纪没有那么大，那我们还要看看除血压之外，还有没有其他的问题，比如糖尿病、吸烟、肥胖、高脂血症等，同时有的危险因素越多，那危险也就越高。

 

另外，血压也是有波动的，是偶尔150/90几，其他时间都正常呢，还是经常150/90几呢，这个也不一样。经常150/90几更严重些。

 

这个血压水平如果是已经开始服药的情况下的，那血压还没有达标，要让医生看看是否需要调整药物。     

\"90低压高压150严重吗\" 

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1944,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1562575635334,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1562575635334,"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":"25860","isDel":0,"createAt":1561706967858,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"高血压为什么会导致脑缺血","content":"

在医院也听很多病人会问到，高血压为什么会导致脑缺血？听说颈动脉要是有斑块，降压会引起脑缺血，是这样吗？今天，找良医网给大家讲解一下这方面的知识。

\"高血压为什么会导致脑缺血\" 

Q：高血压为什么会导致脑缺血？

 

A：高血压会不会引起脑缺血一个要看颈动脉斑块的严重程度，一个要看血压降低的程度。

 

高血压病人如果颈动脉已经有了斑块，说明高血压已经损伤了血管，原则上是需要立即开始降压治疗的。降压能够延缓动脉粥样硬化斑块的进展，并预防严重心脑血管疾病的发生。

 

如果斑块没有引起颈动脉的严重狭窄，是不影响降压治疗的。当然，血压不能降得太低，比如低于90/60mmHg，就算没有颈动脉斑块也可能引起脑缺血。

 

如果斑块引起双侧颈动脉严重狭窄，比如双侧都大于75%的狭窄，特别是老年人，则需要在医生指导下谨慎、缓慢降压，可以适当放宽降压目标，以避免脑缺血症状为原则。   

 \"高血压为什么会导致脑缺血\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1715,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1561706967859,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1561706967859,"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":"25851","isDel":0,"createAt":1561616196968,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"判断儿童高血压低血压的标准","content":"

很多人也经常问到，判断儿童高血压低血压的标准是什么？在本文中，找良医网为大家介绍一个简易的公式，让你对孩子的血压有个很好的认识。

\"判断儿童高血压低血压的标准\" 

Q：判断儿童高血压低血压的标准？

 

A：判断儿童青少年的血压是否正常有一个简易的公式。

 

男孩：高压 100 + 2×年龄；低压 65 + 年龄；

 

女孩：高压 100 + 1.5×年龄；低压 65 + 年龄

 

高压或低压只要有一个超过标准，就是可疑高血压患儿，需要到医院进一步诊断。

 

儿童高血压的诊断需要根据连续三个时间点的血压水平进行，两个时点间隔2周以上，只有3个时间点的高压和（或）低压均高于标准方可诊断为高血压。医生会依照“中国3~17 岁儿童每岁、身高对应的血压标准表”来判断。     

\"判断儿童高血压低血压的标准\" 

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1668,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1561616196969,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1561616196969,"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":"25802","isDel":0,"createAt":1561187562841,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"什么叫高血压危象","content":"

你知道什么叫高血压危象吗？一般而言，高血压这个“敌人”往往是在“潜伏”中前行，慢慢地、悄悄地向着人体的几个重要器官——血管、心脏、大脑、肾脏和视网膜——进击。

\"什么叫高血压危象\" 

而有时候，这个可怕的“敌人”也会来个“急行军”，不仅使血压迅速升高，还可能在短时间内迅速攻破人体的几个重要器官，让人措手不及。这个过程，我们把它称之为“高血压危象”。

 

高血压危象是发生在高血压患者病程中的一种特殊临床现象，它在高血压基础上，由于精神创伤、情绪变化、过度疲劳、寒冷刺激、气候变化和内分泌失调（如绝经期或经期）等诱因使周围小动脉发生暂时性强烈痉挛，引起血压进一步的急剧升高。

 

高血压危象常伴随严重的症状，比如可能出现神志变化、剧烈头痛、恶心呕吐、心动过速、面色苍白、呼吸困难等一系列临床表现，甚至在短时间内发生不可逆性生命器官损害，是一种致命性的临床综合征。其病情凶险，如抢救措施不力，会危及生命。

 

高血压危象分为高血压急症和高血压亚急症两种。高血压急症是指患者血压明显升高（常超过180/120毫米汞柱），并迅速损伤心、脑、肾等重要器官，包括高血压脑病、急性心肌梗死、不稳定心绞痛、肺水肿和主动脉夹层等可怕的病症。

 

相对而言，高血压亚急症就显得“温柔”得多，它仅仅是高血压给患者来了一个“下马威”。尽管在短时间内血压明显升高，让人担惊受怕，但所幸没有靶器官的损害。

 

面对以“急行军”速度前进的高血压，我们的对策是：以快打快，敌快我也快。每个高血压急症患者都需要快速把血压降下来，但这个过程也是有策略的，并不是光下猛药就行了。

 

一般认为，需要在数分钟至1个小时内将平均动脉压下降25％以上，2至6小时血压下降至160/100 mmHg，24至48小时内将血压控制在正常范围，在这个过程中常常需要使用到静脉降压药（输液）。对于损伤的器官，我们还要监测它们的功能，进行“战后”修复和重建。

 

对高血压亚急症而言，我们的策略也可以相对“温柔”些，通过口服降压药治疗将血压逐渐下降到正常水平，并做好监测，直到血压稳定就行了。

 

所以，对高血压患者而言，平时注意按时服药，并避免高血压危象的诱因。一旦出现严重的不适，要有高血压危象这根弦儿，立刻就医。

\"什么叫高血压危象\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1511,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1561187562841,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1561187562841,"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":"25771","isDel":0,"createAt":1560845174855,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"为什么两只胳膊血压不一样","content":"

很多患者就医的时候，问过医生这么一个问题，为什么两只胳膊血压不一样？其实，这个问题很简单，今天，找良医网在本文中为大家简单讲解一下这方面的知识！

\"为什么两只胳膊血压不一样\" 

Q：为什么两只胳膊血压不一样？

 

A：正常情况下，两只胳膊血压可能有一些差异。

 

三分之一的人左边血压比右边高，三分之一的人右边比左边高，三分之一的人两边相等。

 

但一般左右两边血压相差不会超过20 mmHg，如果相差超过20 mmHg，需要去医院检查看看是不是由其他疾病造成的，比如做血管超声，看有没有血管狭窄的情况。

 

由于两只胳膊的血压可能有差异，所以第一次测血压时，两边都要量，之后以高的一边为准。            

 \"为什么两只胳膊血压不一样\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1026","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1590,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1560845174856,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1560845174856,"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":"25750","isDel":0,"createAt":1560503312793,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"为什么运动后血压会高","content":"

听很多患者问过，为什么运动后血压会高？或者说运动后血压会高吗？答案是会的，运动的当时，心率、呼吸加快，血压有一定程度的升高。运动时升高的血压在休息后可以很快恢复。

\"为什么运动后血压会高\" 

你知道吗？长期规律的适量运动可以降压，而且降低高血压患者死亡的风险。最好的运动方式是有氧运动。在降血压方面，中等强度有氧运动更有效、更安全。常见的有氧运动形式包括快走、慢跑、骑自行车、广场舞、登山、登楼梯等。

 

正是因为运动时血压会升高，有高血压的人最好不要在早晨运动、把握好运动的度，并且要在血压控制好的前提下运动。

 

早晨 6~10 点血压常较高，是心肌梗死、脑卒中等严重心血管疾病的高发时段，所以，最好选择下午或傍晚进行锻炼。

 

运动要量力而行，循序渐进。强度不宜过大，运动中的心率达到（170－年龄）次/分钟为中等强度。如果血压控制不好，如超过180/110 mmHg时，不要从事中度及以上的运动。

 

另外，尽量避免短跑、举重等短时间剧烈使用肌肉，或需要屏气一蹴而就的无氧运动，这类运动会使血压瞬间剧烈上升，引发危险。         

 \"为什么运动后血压会高\"

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你知道什么叫季节性高血压吗？如果有这方面的情况，怎么办？今天，找良医网在本文中为您解答这个问题。

\"什么叫季节性高血压\" 

Q：什么是季节性高血压，怎么办？

 

A：人体的血压是波动的，一天中不同时间段血压有波动，一年四季，血压也会随季节而波动，表现为春夏温暖季节血压较低，秋冬寒冷季节血压较高的特点。

 

所以，有些高血压患者需要在不同季节调整高血压药物，夏季可能需要减少药物种类或剂量。有些人夏天甚至可以不用吃药。

 

有些高血压患者只有冬天血压高，夏天血压正常，这种情况称为“季节性高血压”。

 

“季节性高血压”患者，尤其是已有心脑血管病，冬天一定要加强控制血压。因为冬天血压高，导致的心脑血管病风险明显升高。         

\"什么叫季节性高血压\" 

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