{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1920","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1920","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"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":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[{"id":"cf10ffe69afb11e8972100163e0462f1","isDel":0,"createAt":1533726632842,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"applyId":"aad6a8499afb11e8972100163e0462f1","userId":"84404015eff611e6a61c00163e04584d","webType":0,"barId":"1920","status":0,"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}},{"id":"65cfb92dffa411ec9f6300163e0462f1","isDel":0,"createAt":1657384198092,"createBy":"c47d55bbfc2c11ec9f6300163e0462f1","createName":"qq_d16a4176e7bb4a62b044eeb0ff3448e8","updateAt":0,"updateBy":null,"updateName":null,"applyId":"5f578f4effa411ec9f6300163e0462f1","userId":"c47d55bbfc2c11ec9f6300163e0462f1","webType":0,"barId":"1920","status":0,"forumUser":{"id":"c47d55bbfc2c11ec9f6300163e0462f1","isDel":0,"createAt":1657002974636,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"可爱的小沙子","password":"888888","level":0,"nickName":"可爱的小沙子","realName":null,"signName":"可爱的小沙子","head":null,"phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":7,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110102","userLevel":0,"modifyNameCount":1}},{"id":"3bed972a985b11e8972100163e0462f1","isDel":0,"createAt":1494427629853,"createBy":"d618c1d4097a11e7a61c00163e04584d","createName":"乐哈哈哈","updateAt":0,"updateBy":null,"updateName":null,"applyId":"8bb85ad9358f11e7a61c00163e04584d","userId":"d618c1d4097a11e7a61c00163e04584d","webType":0,"barId":"1920","status":0,"forumUser":{"id":"d618c1d4097a11e7a61c00163e04584d","isDel":0,"createAt":1489580884064,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"乐哈哈哈","password":"888888","level":0,"nickName":"乐哈哈","realName":null,"signName":"给对方","head":"/resources/images/qq/3.png","phone":null,"mobile":null,"wechat":null,"qq":null,"email":null,"address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"","userLevel":0,"modifyNameCount":1}}],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":1,"totalPage":1,"totalRow":3},"metaSearch":{"description":"为您提供:高血压的治疗与饮食应该注意什么_高血压最佳治疗方法等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"高血压的治疗与饮食应该注意什么_高血压最佳治疗方法","title":"高血压的治疗与饮食应该注意什么_高血压最佳治疗方法","channels":null},"data":{"list":[{"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


 


","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1659,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1559571663429,"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":1567520473228,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1559571663429,"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\"

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","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":"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\"

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":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":"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\" 

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":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":"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":"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。

\"???.jpg\"/

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","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1521,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1557760311252,"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":1565709130005,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1557760311252,"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":"25473","isDel":0,"createAt":1557410177570,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"散步能降低血压吗","content":"

许多人经常问，散步能降低血压吗？特别是很多从事办公室工作的脑力劳动者，持续工作一段时间后，特别是存在精神紧张、情绪激动等因素的情况下，血压会升高，这时候散步管用吗？

 \"散步能降低血压吗\"

其实如果平时血压不高或者血压轻度升高，因为脑力劳动导致血压增高后，最安全有效的方法不是吃药，而是散步。遇到这种情况，可以暂时放下手头的工作，到院子里走一走，过20分钟后你再回来测血压，肯定会有明显降低，有的人可以降低10-20 mmHg。

 

平时血压正常的人，散步也可以使血压降低。一般来讲，悠闲地散步可以使健康人收缩压（高压）降低3-5 mmHg，舒张压（低压）降低2-4 mmHg。有轻度高血压的病人，散步后血压降低会更明显。不信你试试！这是因为散步能够促进全身血液循环，更重要的是可以使大脑放松，降低交感神经系统张力（交感神经系统张力增高后可以使血管收缩、血压升高），扩张血管，所以血压会下降。

 

上面说的只是短期效应。如果你长期坚持有氧运动（根据身体情况可以选择慢走、快走或者慢跑），过两三个月后血压会有更明显的降低。长期坚持规律性的户外运动可以使血压降低5-10 mmHg，一些轻度高血压患者就可以不用吃降压药了。



","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1594,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1557410177571,"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":1565359194164,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1557410177571,"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":"25461","isDel":0,"createAt":1557330481128,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"降压药应该啥时候吃效果最好","content":"

经常有人问降压药应该啥时候吃效果最好，但这个问题不能一概而论。早晨吃药、还是晚上吃药，不仅取决于血压的昼夜波动特征（一天什么时候最高、什么时候最低），还取决于所用药物的类型（短效、中效还是长效）。

 \"降压药应该啥时候吃效果最好\"

我们的血压在一天24小时内不是稳定不变的，而是一直在波动，每天上下可以相差20-40 mmHg甚至更多。所以高血压病人在一天的不同时间里，有时候更高，有时候较低。另一方面，降压药的作用时间也不相同。我们平常习惯把降压药物分为短效（降压作用持续几个小时）、中效（降压作用持续十个小时左右）或长效（降压作用覆盖24小时）。无论是短效中效还是长效降压药物，服药数小时到十余小时后其降压作用均会不同程度的减弱。本次服药后至下次服药前的时段内血液中药物浓度会降低，降压作用随之减弱，血压有可能相应升高。

 

服用降压药物时，如果药物作用最弱的时段恰逢血压最高的时段，就会表现为这个时间段内的血压明显增高。在这种情况下，改变服药时间，让血液中药物浓度最高的时段覆盖血压最高的时段，就能够更好的控制这一段时间内的血压。例如，您正在服用的是每天一次的长效降压药，傍晚血压偏高，其他时间的血压控制很好，这时您可尝试在中午服药，或许血压能够得到更好的控制。如果您每天早晨的血压较高，其他时段血压正常，您可以尝试睡前服用长效降压药，这样能够保证第二天早晨血液中仍然有较高水平的药物浓度，从而更好的控制这个时段的血压。如果您同时服用两种或多种降压药物，可以把服药时间分开，例如早晨服一种，中午或晚上吃一种，这样能够保证全天不同时间的血压都能得到控制。需要指出的是，降压治疗方案的确定以及降压药物的调整是一个非常复杂的过程，需要在医生指导下进行，自己不要随意更改治疗方案。

 

此外，患有高血压的朋友，如果经过降压药物治疗后血压控制不好，也应该进行24小时动态血压监测，或者自己在家分别于早晨、中午、晚上与睡前数次测量血压，了解全天血压波动情况。如果您的血压在全天多数时间段内都升高，则需要增加药物剂量或种类。如果您的血压在多数时间段内控制较好，只是某一段时间内（如早晨、或中午、或晚上等）控制不佳，请不要急于增加药物剂量或种类，可以尝试改变一下服药时间。很多病人调整服药时间后血压可以得到理想控制。

\"???.jpg\"/

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","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1440,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1557330481129,"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":1565279295010,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1557330481129,"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":"25460","isDel":0,"createAt":1557330347312,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"多少血压应该吃降压药","content":"

多少血压应该吃降压药这也是一个经常被问到、但是很难回答的问题，因为不同人情况不同，开始药物治疗的时机也不同。

\"多少血压应该吃降压药\"

一般来讲，对于患有冠心病、心衰、脑血管病、肾脏疾病的人来讲，只要血压超过140/90 mmHg就应该应用降压药物治疗了。当然在用药的同时，还要注意改变不健康的生活习惯，例如少吃盐、合理饮食、控制体重、不饮酒或少饮酒、增加运动、缓解精神压力、保证充足睡眠等。


如果是糖尿病患者，血压超过140/90 mmHg的时候，可以先尝试按照上述方法改变不健康生活习惯，这样做不仅可以降低血压，还有助于降低血糖和血脂。经过几周后如果血压不能得到满意控制（应该降到130/80 mmHg以下），就要及时用降压药了。


如果患者血压超过160/100 mmHg，无论有没有合并其他疾病，都应该在改变不健康生活习惯的同时开始用降压药物。

如果血压只是轻度升高，没有超过160/100 mmHg，并且没有前文所说的那些疾病，可以不用着急吃药，先拿出两三个月的时间来改变不健康生活习惯，特别是减轻体重。很多人经过这些措施血压可以降到140/90 mmHg以下，就可以不用吃药了。如果两三个月后血压仍不能得到控制，就要开始用药了。

以上是判断高血压患者何时开始用药的简单方法。

 \"多少血压应该吃降压药\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1595,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1557330347324,"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":1565279159785,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1557330347324,"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":"25424","isDel":0,"createAt":1556551204431,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高血压停药的条件","content":"

许多高血压病人经常问：高血压停药的条件有哪些呢，能不能停药？

 \"高血压停药的条件\"

确实有些高血压患者有可能停药，主要包括以下三种情况：

1. 继发性高血压：所谓继发性高血压是指由明确原因或疾病所引起的血压升高，例如肾小球肾炎、原发性醛固酮增多症、嗜铬细胞瘤、药物性高血压等。这些患者的基础疾病治愈后，其血压可以恢复正常，从而停用降压药物。

 

2. 有效生活方式干预后：一些患者的高血压与不健康生活方式有明显关系，例如营养过剩、缺乏运动、肥胖、食盐摄入过多、酗酒、生活不规律等。若患者血压只是轻度升高，经过纠正上述不良因素，其血压可能降至正常水平。若已经接受降压药物治疗，经过有效的生活方式干预，此类患者也有可能停用降压药物。我有几位很胖的朋友原有高血压，经过减轻体重后停用了降压药，并且血压一致保持在较低的水平，所以减肥是治疗高血压的有效措施。

 

3. 发生严重心脏疾患：高血压患者若发生心肌梗死或心力衰竭，其心脏射血能力显著降低，血压也会随之下降。这些患者可能停用降压药物，当然这是我们最不愿看到的。

\"高血压停药的条件\"

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","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1340,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556551204432,"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":1564413619759,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556551204432,"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":"25423","isDel":0,"createAt":1556551040622,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"高血压病人需要长期服药吗","content":"

很多高血压患者不愿意常年吃药，血压控制好以后总试图停药，总是问高血压病人需要长期服药吗，能不能停药，但绝大多数高血压患者需要长期服药，主要原因如下：

\"高血压病人需要长期服药吗\" 

90%以上的高血压患者是没有明确病因的。既然没有明确病因，就无法针对病因进行治疗。既然不能去除病因，也就无法根治高血压。既然无法根治高血压，当然就要终身服药控制血压了。随着年龄增长，多数人（无论是否已经发生高血压）的收缩压（平时人们所说的“高压”）会逐渐增高，所以原来没有高血压的人会逐渐发生高血压，原来已经发生高血压的人其血压升高的程度会越来越重。所以随着年龄增长，降压药物不仅不能停，反而可能需要逐渐增加降压药物。原来只服一种药物，以后可能需要服两种、三种。

 

高血压对于心脑肾都具有严重危害，长期坚持控制血压可以将这种危害降低到最小。发生高血压后不要抱有侥幸心理，一定要坚持用药治疗。更不能听那些图财害命的广告，不要奢望“彻底治愈”高血压。在现阶段，人类还没有有效的方法治愈高血压。

\"高血压病人需要长期服药吗\"

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



","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1259,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556551040623,"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":1564413453083,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556551040623,"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":"25380","isDel":0,"createAt":1556203033453,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"降压药应该啥时候吃效果最好","content":"

经常有人问、也经常有人讲降压药应该啥时候吃效果最好这个问题，但这个问题不能一概而论。早晨吃药、还是晚上吃药，不仅取决于血压的昼夜波动特征（一天什么时候最高、什么时候最低），还取决于所用药物的类型（短效、中效还是长效）。

 \"降压药应该啥时候吃效果最好\"

我们的血压在一天24小时内不是稳定不变的，而是一直在波动，每天上下可以相差20-40 mmHg甚至更多。所以高血压病人在一天的不同时间里，有时候更高，有时候较低。另一方面，降压药的作用时间也不相同。我们平常习惯把降压药物分为短效（降压作用持续几个小时）、中效（降压作用持续十个小时左右）或长效（降压作用覆盖24小时）。

 

无论是短效中效还是长效降压药物，服药数小时到十余小时后其降压作用均会不同程度的减弱。本次服药后至下次服药前的时段内血液中药物浓度会降低，降压作用随之减弱，血压有可能相应升高。

服用降压药物时，如果药物作用最弱的时段恰逢血压最高的时段，就会表现为这个时间段内的血压明显增高。在这种情况下，改变服药时间，让血液中药物浓度最高的时段覆盖血压最高的时段，就能够更好的控制这一段时间内的血压。例如，您正在服用的是每天一次的长效降压药，傍晚血压偏高，其他时间的血压控制很好，这时您可尝试在中午服药，或许血压能够得到更好的控制。如果您每天早晨的血压较高，其他时段血压正常，您可以尝试睡前服用长效降压药，这样能够保证第二天早晨血液中仍然有较高水平的药物浓度，从而更好的控制这个时段的血压。如果您同时服用两种或多种降压药物，可以把服药时间分开，例如早晨服一种，中午或晚上吃一种，这样能够保证全天不同时间的血压都能得到控制。需要指出的是，降压治疗方案的确定以及降压药物的调整是一个非常复杂的过程，需要在医生指导下进行，自己不要随意更改治疗方案。

 

此外，患有高血压的朋友，如果经过降压药物治疗后血压控制不好，也应该进行24小时动态血压监测，或者自己在家分别于早晨、中午、晚上与睡前数次测量血压，了解全天血压波动情况。如果您的血压在全天多数时间段内都升高，则需要增加药物剂量或种类。如果您的血压在多数时间段内控制较好，只是某一段时间内（如早晨、或中午、或晚上等）控制不佳，请不要急于增加药物剂量或种类，可以尝试改变一下服药时间。很多病人调整服药时间后血压可以得到理想控制。

 

\"降压药应该啥时候吃效果最好\"

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":1406,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556203033456,"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":1564893327222,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556203033456,"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":"25375","isDel":0,"createAt":1556201134124,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"使用降压药注意事项","content":"

使用降压药注意事项有很多，今天我们将从以下十个维度给大家注意介绍：

 

1、哪种降压药降压作用最强？

从整个人群角度而言，地平类、普利类、沙坦类、利尿剂与b-受体阻滞剂降压作用相似，所以不存在谁比谁更强的问题。然而具体到每个人，不同药物的降压作用可能有明显不同。例如，张三用沙坦类效果显著，但李四用后血压降低却很少；王五用b-受体阻滞剂能使血压明显下降，而马六用同样的药物后血压却没有多少变化。所以每个个体之间对于降压药物的反应可能存在明显差异，我们不要看到隔壁老王用某药效果很好，自己也跟着用。在医生指导下用药是最可靠的。

\"使用降压药注意事项\"

2. 一种降压药能使血压降低多少？

药物的降压幅度主要取决于当前的血压高低。例如，老王现在的血压是140/90 mmHg，用一种降压药后血压降低一般不会超过10/5 mmHg左右；老李现在的血压是180/110 mmHg，用药后血压有可能下降20/10 mmHg左右。这就是说，当前的血压越高，用药后血压下降幅度就越大。

 

3. 我收缩压很高，舒张压高的不明显，用降压药后会不会把舒张压降的太低？

有可能。但需要说明的是，收缩压与舒张压的下降幅度是不一样的，如果收缩压降低10 mmHg，舒张压可能降低5-6 mmHg，所以用药后虽然收缩压和舒张压都会下降，但舒张压下降的幅度比较小。我国有人曾完成一项研究，发现用某种降压药后收缩压降低16 mmHg，舒张压降低13 mmHg，看到这个结果我就呵呵，呵呵……。

 

4. 降压药会耐药吗？

一般不会。有人说我用某某药5年了，原来血压控制很好，近来又高了，是不是耐药了？不是。随着年龄增长，我们的收缩压都会逐渐增高，现在血压控制不好的原因是你的血压比原来更高了，而不是耐药了。这种情况下一般需要再加一种药物或把原来的药物加量，而不应尝试换药。

 

5. 用药治疗一段时间后血压正常了，能停药吗？

如果用药前你的血压不是太高，并且近来你很注意运动、减重、少吃盐，用药几个月后可以试着停药，并且密切监测血压，部分病人停药后血压有可能不再升高。如果停药后血压再次升高，那就赶紧恢复用药，并且以后不要再试图停药了。

 

6. 一种降压药用久了需要更换吗？

有人担心一种降压药永久了会出现副作用，所以要求换药。其实大可不必。降压药的副作用一般出现于用药几周到几个月之内，如果用了数年没有出现副作用，说明能够良好的耐受，只要血压控制满意就不必换药。

 

7. 降压药应该饭前吃还是饭后吃？

按照说明书去做，不同药有不同的要求。说明书上没有特殊说明的，一般都在饭后吃。

 

8. 每天吃一次的降压药应该早晨吃还是晚上吃？

因人而异，多数人可以在早晨吃。最好做24小时动态血压监测，如果夜间或者早晨血压高，可以晚上吃药；如果白天血压高，可以早晨吃药。如果天天应酬、晚上经常喝酒，最好早晨吃药，因为酒精对很多药物会产生影响。

 

9. 吃降压药物后多长时间发挥作用？

不一样。舌下含服的药物可以在几分钟后开始发挥降压作用（虽然作用快，但对人体不好，一般不建议这样用药）。口服短效药物一般在一两个小时后起效，长效药物可能需要连续用药一两周以后逐渐发挥最大作用（虽然慢，但是血压波动小，这对高血压患者是有好处的）。

 

10. 降压药会伤肝伤肾吗？

理论上讲任何药物都具有损害肝肾功能的潜在危险，包括中药同样如此（一些人常说中药没有毒副作用，这是错误观念）。但目前临床常用的降压药总体安全性是非常好的，只要在医生指导下合理用药，一般不会对肝肾功能产生明显不利影响。

 

\"使用降压药注意事项\"

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":1249,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1556201134125,"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":1564063547204,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1556201134125,"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":"25286","isDel":0,"createAt":1555484886776,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"降压药吃久了要换药吗","content":"

经常有人问：我用一种降压药吃久了要换药吗，是否需要更换其它药物？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。

 \"降压药吃久了要换药吗\"

一般而言，降压药物的副作用会在刚开始用药几周后表现出来。如果用了较长时间没有出现不良反应，说明患者可以很好地耐受这种药物，因此无需担心长时间使用一种药物会产生副作用，更不必要换药。


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。

 

有的人吃某种降压药，开始血压控制很好，但是过了几年血压又开始增高了，以为原来用的药物耐药了，要求更换药物。其实这不是耐药了，而是你的血压（主要是收缩压）比原来更高了。原来血压轻度升高，用一种药就能控制好。随着年龄增长，血压会逐渐增高，就需要用两种或者更多

\"降压药吃久了要换药吗\"

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





","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1573,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1555484886777,"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":1563347350793,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1555484886777,"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":"25222","isDel":0,"createAt":1555070885063,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":1555070925168,"updateBy":"84404015eff611e6a61c00163e04584d","updateName":"13911686944","userId":"84404015eff611e6a61c00163e04584d","title":"血压高自己能买药吃吗","content":"

如果发现血压高自己能买药吃吗？特别是上班族有钱也没时间，更想着自己能解决就自己解决。其实这大错特错了！因为选择降压药物有很多学问，非专业人士很难正确用药，所以要在医生指导下用药。

 \"血压高自己能买药吃吗\"

目前临床上使用的降压药物有很多种，每种药都有其特殊性。例如年轻人最好选用普利类或者沙坦类，心率快的选择美托洛尔、比索洛尔等，但是怀孕的患者就不能吃沙坦类或者普利类，肾动脉狭窄的人也不能吃这两类药，而哮喘的人就不能吃美托洛尔或者比索洛尔。又如，地平类是降压作用很好的一类药，但是有些人用了以后会出现脚脖子肿胀。利尿剂（比如氢氯噻嗪）也是非常重要的一种降压药，但是血钠太低的人就不能用，而血钾高的人则不宜用螺内酯。

 

我举这些例子就是想说明选择降压药需要考虑很多因素，不能看见隔壁老王或者楼下老张吃什么自己也就吃什么。用药不当不仅仅疗效不好，有时还会引起不良后果。所以，吃降压药物一定要由医生给确定方案。当然，如果经过医生诊治、确定治疗方案后，只要血压控制满意，以后可以自己按照医生的方案去购买药物了，但不要自行更换药物品种和服药剂量。


\"血压高自己能买药吃吗\"

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":"1","topicThemeId":"1028","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1605,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1555070885064,"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":1563024868162,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1555070885064,"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":"23248","isDel":0,"createAt":1542896408451,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"血压越低越好吗","content":"

高血压患者血压降低后，心脑血管病的发病和死亡都会明显减少。那么，血压是不是降得越低越好呢？这个问题对下面5类人来说尤其重要，因为他们的血压并不是越低越好。

\"血压越低越好吗\"

01、高血压伴冠心病的人

对于合并冠心病和心绞痛的高血压患者，这类病人血压应控制在一个区间范围内，不能过高或者过低，130/80mmHg左右是比较合适的。如果舒张压降至60mmHg是比较合适的。，则死亡率会大大上升。所以，有冠心病的高血压患者，舒张压维持在80mmHg左右比较好。

02、患过脑卒中（中风）的人

发生过中风的患者血压不宜低于120/70mmHg，而且这类患者最好做24小时动态血压监测。因为有研究发现，一部分发生中风的病人虽然白天血压很高，但到了晚上则血压急降，这个时候如果仍然服用降压药，容易诱发中风，所以采用24小时动态血压监测很重要。这类人比较合适的是日间平均血压高于135/85mmHg，睡眠状态血压平均100/ 60mmHg。

03、高血压伴肾功能损害的人

60岁以上的高龄病人，即使有蛋白尿，血压也不应低于110/70mmHg。而年龄较轻、有肾小球肾炎的高血压患者，如果平时血压不太高，可以降得低一些，如110/65mmHg，即使降至90/60mmHg左右也是可以的。高血压伴有大量蛋白尿的人，则应降到125/75mmHg以下较好。

04、年龄大于65岁的人

老年人往往单纯收缩压较高而舒张压不高，甚至舒张压偏低，升高的收缩压是老年人患病的主要危险因素，所以需要积极降压治疗。但是，由于老年人全身动脉硬化，血压过低尤其舒张压过低可能引起冠状动脉供血不足，因此血压又不能降得太低。目前对没有冠心病的老年高血压患者，舒张压的最低安全限度还没有确定，所以最好让专业医生及时调整药量，确保控制好血压。

05、高血压合并糖尿病患者

对于大多数糖尿病患者，130mmHg的收缩压目标值较为合适。血压控制太低不仅不会让心血管进一步获益，反而可能增加患心脏病的风险。需要注意的是，糖尿病患者一旦发现血压高，就应该积极治疗，否则容易损害到肾功能。


","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1429,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1542896408455,"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":1550845223945,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1542896408455,"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":"27736","isDel":0,"createAt":1572858509653,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"吃降压药的最佳时间","content":"

在找良医网的高血压病友交流群内，有病人曾经问过这样的问题，吃降压药的最佳时间？找良医网告诉你，现在提倡吃长效的降压药物，即一天一次的药物，因为长效药物降压效果可以维持24小时，按理不用特别担心早上或者晚上吃药的问题。长效制剂一般在早晨顿服。

\"吃降压药的最佳时间\" 

但理想的吃药时间应个体化，最好能根据24小时血压曲线决定给药时间。尤其是血压控制不理想的患者，应做24小时动态血压监测，由医生据此调整服用时间。

 

正常人，一天中血压是有波动的。夜间低一些，白天高一些，就像一个勺子，我们称之为“杓型”。

 

但有些人，夜间反而血压高，我们称之为“反杓型”血压。肾功能不全和糖尿病的人容易出现“反杓型”血压。有这种血压的人，晚上吃降压药较好。

 

另外，清晨血压高的患者，也可在晚上睡前服药，以控制晨峰血压。    

 \"吃降压药的最佳时间\"

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":1920,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1572858509654,"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":1572858509654,"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":"27729","isDel":0,"createAt":1572855860416,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"平躺着测血压准吗","content":"

在找良医网的高血压交流群内，有病人曾经问过这样的问题，平躺着测血压准吗？找良医网告诉你，无论是高血压的诊断标准还是治疗应该达到的水平，它们都是通过大量临床研究来确定的，而这些研究中血压都是取坐位测量的肱动脉血压，所以建议在家自我监测血压时也应该坐位测量。

\"平躺着测血压准吗\" 

测量时使袖带中心与心脏（乳头水平）处于同一水平面上，双脚平放于地面，放松身体，靠在靠背上，不说话。一般来讲，不同体位的血压不相同，卧位血压会低一些，立位血压会高一些。

 

对于一些年老体弱，不方便坐着量血压的患者，可以躺在床上量。不过要注意袖带与心脏也要处于同一水平面上，仰卧位时手臂容易低于心脏水平，可以将上臂垫高。如果立位血压低于坐位，血压反而下降了，比如：收缩压下降低于20 mmHg，这就是体位性低血压，需要就诊。    

 \"平躺着测血压准吗\"

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":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1899,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1572855860417,"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":1572855860417,"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":"27707","isDel":0,"createAt":1572685227273,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"复方制剂的降压药","content":"

在丁荣晶教授《心肌梗死与心肌康复》读者交流群里，有病人曾经问过这样的问题，复方制剂的降压药好不好？固定剂量单片复方制剂的降压药好不好？在本文中，找良医网为您解答一下这个问题。

\"复方制剂的降压药\" 

固定剂量单片复方制剂也是一类常用的降压药物，是把不同类的降压药合成一片，目前市场上的主要是两种药物组合的复方制剂。

 

为什么要把两种药合在一起？一是由于大多数高血压患者都需要服用2种或以上的降压药才能维持血压达标，二是由于不同作用机制的药物联合降压的效果更好，且副作用更小，所以把两种药做在一起可以方便服用，更减少漏服。

 

这类药“好不好”要因人而异，比如您正在服用利尿剂和XX沙坦降压，而且是在同一时间吃，并且血压控制不错，您可以选用同等剂量的固定复方制剂，效果和服两种药是一样的。而如果您因各种原因两种降压药要在不同的时间吃，那固定复方制剂就不合适了。    

\"复方制剂的降压药\" 

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":1517,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1572685227274,"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":1572685227274,"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":"27372","isDel":0,"createAt":1571298610005,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"血压降的太快好不好","content":"

有病人在群内问过这样的问题，血压降的太快好不好？是不是血压越快达标越好？找良医网告诉你，并不是这样的。有些人认为血压高了，尽快让血压达标，不是可以保护心、脑、肾吗？其实不然。

\"血压降的太快好不好\" 

对一般的高血压病人来说，降压讲究缓慢、平稳。血压下降过快，反而容易发生心、脑等重要脏器的缺血，甚至并发脑梗死等严重后果，尤其是老年人。

 

所以，刚开始服用降压药的患者不要着急，目前临床常用的降压药发挥平稳的疗效需要1~2周的时间，所以一般服用2~4周后看血压的控制情况，不要因为吃药几天血压没有达标就着急，甚至自己调整治疗。

 

有一类高血压病人比较特殊，就是发生高血压急症和亚急症的患者。这类患者在一些诱因作用下，血压急剧升高，一般超过180/120 mmHg，并且有严重的症状，比如头痛、胸闷、烦躁、呼吸困难、偏瘫等。此类患者需要尽快就诊。此类患者降压需要在密切监测下进行，但也不能快速的降到正常，而是需要在相对较短的时间内，比如48小时内，逐渐降压。    

\"血压降的太快好不好\" 

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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在丁荣晶教授《心肌梗死与心肌康复》读者交流群里，有人问过规范测量血压三要点是什么?找良医网告诉你，高血压管理的主战场在基层，为此国家基本公共卫生服务项目基层高血压管理办公室、基层高血压管理专家委员会于近日发布《基层高血压管理指南》，以帮助基层医生管理好高血压患者。

 

这里向高血压患者介绍其中与自我管理血压相关的主要内容，毕竟管理血压您是关键。

 

 管理高血压要注意什么？

 

1、测量血压要记“三要点”：安静放松，位置规范，读数精准；

 

安静放松：去除可能有影响的因素（测量前30分钟内禁止吸烟、饮咖啡或茶等，排空膀胱），安静休息至少5分钟。测量时取坐位，双脚平放于地面，放松且身体保持不动，不说话。

 

位置规范：上臂袖带中心与心脏（乳头水平）处于同一水平线上（水银柱血压计也应置于心脏水平）；袖带下缘应在肘窝上2.5 cm（约两横指），松紧合适，可插入1~2 指为宜。台式水银柱血压计测量时，听诊器胸件置于肱动脉搏动最明显处，勿绑缚于袖带内。

 

读数精准：电子血压计直接读取记录所显示的收缩压和舒张压数值；水银柱血压计，放气过程中听到的第1音和消失音（若不消失，则取明显减弱的变调音）分别为收缩压和舒张压，眼睛平视水银柱液面，读取水银柱凸面顶端对应的偶数刻度值，即以0、2、4、6、8 结尾，避免粗略读为尾数0或5的血压值。

 

2、健康生活把握“六部曲”：限盐减重多运动，戒烟限酒心态平；

 

六部曲的降压效果见下表：

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3、治疗谨遵“三原则”：达标、平稳、综合管理；

 

治疗高血压首先要降压达标，不论采用何种治疗，将血压控制在目标值以下是根本。

 

其次，降压需要平稳，长期坚持健康生活方式和药物治疗，保持血压长期平稳至关重要。长效制剂有利于每日血压的平稳控制，对减少心血管并发症有益，推荐使用。

 

第三，对于已有心血管疾病（如冠心病、卒中）及其他危险因素（如血脂异常、糖尿病）的患者，应进行综合治疗。      

\"规范测量血压三要点是什么?\" 

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","barId":"1920","topicTypeId":"1","topicThemeId":"1028","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1794,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1570870545338,"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":1570870545338,"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":"27234","isDel":0,"createAt":1570697894073,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"测量血压的要点是什么","content":"

在丁荣晶教授《心肌梗死与心肌康复》读者交流群里，有人曾经问过这样的问题，测量血压的要点是什么？找良医网在本文中为您解答测量血压的3个必需和12大要点。

 \"测量血压的要点是什么\"

3个必需：

 

1、高度合适的椅子和桌子；

2、质量合格的上臂式电子血压计；

3、血压测量结果的记录本。

 

    

12大要点 ：

 

1、测量血压前半小时不吸烟、饮酒或喝咖啡；

2、排空膀胱，测量前至少休息5分钟；

3、测量时保持安静，不讲话；

4、坐在有靠背的椅子上，双脚自然平放，上臂与胸壁成40度角放于桌上；

5、用手触摸肘窝找到肱动脉跳动的部位，将袖带的胶皮袋中心置于肱动脉上；

6、裸臂绑好袖带，袖带下缘距肘线2~3厘米，松紧以能插入1~2指为宜；

7、袖带必须与心脏保持同一水平；

8、袖带型号适合上臂的粗细，袖带的气囊应至少可绕上臂4/5圈；

9、血压控制不好的或刚开始降压治疗者，需要每天测血压，早晚各一次;压稳控制达标的，可以每周固定1天测量，早晚各一次；

10、早上最好在起床排尿后，服药前测；晚上在临睡前测；

11、因为首遍测量血压数值往往偏高，每次测血压需要连续测量2~3遍，每遍间隔1分钟，每遍测量前将袖带气囊内空气排干净，取后两遍平均值；

12、做好记录，下次就诊记得带好，供医生参考。      

\"测量血压的要点是什么\" 

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":1732,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1570697894074,"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":1570697894074,"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":"27229","isDel":0,"createAt":1570697086453,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"测血压时的注意事项","content":"

在丁荣晶教授《心肌梗死与心肌康复》读者交流群里，有人问过这样的问题，测血压时的注意事项是什么？在美国心脏协会中，曾经指出过七个测血压“小毛病”，找良医网在本文为大家总结一下，看看你是否有这样的问题！

\"测血压时的注意事项\" 

判断血压是否正常或者血压控制的好不好，就是靠量血压，但是一样的伸胳膊、卷袖子就都量得准？其实，血压的准确测量是个“细活儿”。美国心脏协会（AHA）指出了血压测量中常常存在的“ 小毛病 ”，而这些都会让测量的血压失真。

 

1、憋尿时量血压：

人有三急，这一急会让血压增加10~15mmHg。所以测血压前，务必去个卫生间。

 

2、坐着量血压时，背部不靠椅背，双脚不平放在地板或脚凳上：

这种坐姿会让血压读数增加6~10mmHg，所以正确的做法是后背靠在椅背，双脚平放在地面。

 

3、量血压时，手臂悬空：

正确的做法是手臂应该放在桌面上，以使袖带与心脏平齐，如果在测量时手臂悬空，就会增加10mmHg的血压读数。

 

4、把袖带裹着衣服测血压：

这会让血压读数增加5~50mmHg，因此最好裸露手臂来测量。

 

5、袖带裹得太紧：

如果袖带裹得太紧，血压读数会增加2~10mmHg。所以应该宽紧适度，以能插入1~2指为宜。

 

6、翘二郎腿：

这会让血压读数增加2~10mmHg。还是要放下美腿，双脚踏地来量取。

 

7、边说话边量血压：

量血压时与医生交谈，或与家人说话、打电话等，均会让血压增加10 mmHg。所以量血压时要保持安静。      

\"测血压时的注意事项\" 

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":1837,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1570697086455,"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":1570697086455,"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":"27203","isDel":0,"createAt":1570608926773,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"快速降压的方法","content":"

在丁荣晶教授《心肌梗死与心肌康复》读者交流群里，有病人问过关于快速降压的方法，找良医网为大家总结了10种不吃药降压的方法：先买个血压计，减肥最重要。

\"快速降压的方法\" 

我在给病人看病时，经常有人问我，“高血压要吃一辈子降压药吗？有什么办法可以不吃药也降压吗？”

 

确实，很多人被诊断高血压后，都不愿吃药。一般来讲，对于是刚刚发现的轻度高血压，即收缩压在140~160 mmHg，舒张压90~100 mmHg，如果没有合并冠心病、糖尿病、吸烟、高脂血症和脑卒中等情况，可以尝试用改善生活方式的方法降低血压。

 

但我也提醒一句，国外有研究发现，尝试改善生活方式降压的人，发生心脏病和脑中风的危险高于吃药，为什么？就是病人自以为坚持的很好了，但那是自以为，实际上可能坚持的不怎么样，效果也就比较差。

 

但不论是否吃降压药，采取以下措施都可以帮助降压，可以减少服用降压药的种类或剂量。      

 \"快速降压的方法\"

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":1702,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1570608926774,"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":1570608926774,"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":"27109","isDel":0,"createAt":1569572067419,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"什么样的血压计好","content":"

在丁荣晶教授《心肌梗死与心肌康复》读者交流群里，有病人问过，什么样的血压计好？在群里患者们也是众说纷纭，那么，这个应该怎么理解呢？找良医网告诉你这个知识点。

\"什么样的血压计好\" 

购买血压计建议选择通过国际标准认证的上臂式电子血压计，不提倡使用腕式或手指式电子血压计测量血压。国际标准包括欧洲高血压学会（ESH）、英国高血压学会（BHS）和美国仪器协会（AAMI）的认证。      

\"什么样的血压计好\" 

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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