{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"2012","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"2012","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":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"为您提供:低血压的治疗与饮食注意什么_治疗低血压的最好方法等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"低血压的治疗与饮食注意什么_治疗低血压的最好方法","title":"低血压的治疗与饮食注意什么_治疗低血压的最好方法","channels":null},"data":{"list":[{"id":"25598","isDel":0,"createAt":1558513829953,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":1558579220792,"updateBy":"425fdc1d2e6111e8a3d800163e04584d","updateName":"求一红颜笑看余生","userId":"425fdc1d2e6111e8a3d800163e04584d","title":"老年人血压低心率慢怎么办","content":"

随着生活水平的提高，很多的疾病和症状都出现了，但是很多人不知道如何去判断，要就医，也要自己知道，这是很重要的，比如老年人血压低心率慢怎么办？本文教你如何正确认识老年人“心率慢”和“血压低”。

\"老年人血压低心率慢怎么办\" 

70多岁了，80多岁了，甚至过了90岁了，血压110/70，甚至100/60mmHg，心率50-60次/分，有时才47-48次/分，赶上夜间有个长间歇3秒钟，60÷3=20次/分的心率。平时从无黑朦或晕厥。有相当一部分医生会“劝说”“引导”患者，动员家属装起搏器。这是过度医疗的又一个“大市场”！

 

如果从青少年直至老年，血压始终保持在理想的低水平，卒中的风险更小。

 

心率适度偏慢非旦无危险，还能让心脏有更多机会休息休息。

 

从动物到人类，一生的心跳是定数，谁先跳完谁先走。

 

不必去寻求升血压和加快心率的药物，一是根本无必要，二是凡升血压和加快心率的药物都弊大于利，副作用明显。

 

血压偏低，心率偏慢的老年人应注意除外甲状腺功能低下。

 

我再强调一下，没有黑朦或晕厥的夜间长间歇，别被吓着忽悠安上了不必要的起搏器！

\"老年人血压低心率慢怎么办\" 

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":"2012","topicTypeId":"1","topicThemeId":"1028","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1871,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1558513829954,"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":1558513829954,"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":"25557","isDel":0,"createAt":1558100628840,"createBy":"84404015eff611e6a61c00163e04584d","createName":"13911686944","updateAt":0,"updateBy":null,"updateName":null,"userId":"84404015eff611e6a61c00163e04584d","title":"自己测血压注意什么问题","content":"

家庭自测血压是了解高血压患者血压真实水平的重要手段之一，其重要性不亚于在医院由医生测量血压。那么自己测血压注意什么问题？

 \"自己测血压注意什么问题\"

因为我们的血压一直在波动，每天上下波动可达到20-40 mmHg，老年人的波动范围更大。因此，仅仅偶尔一次在医院测量血压很难反映血压的真实水平。另外一个重要原因就是“白大衣现象”也叫“诊室高血压”。有些人自己并未感觉到内心紧张，但在医院测量血压时总比实际血压增高。因此，在家庭环境中自己测量血压就更为重要。还有一种情况，患者在医院测量血压时是正常的，但是夜间血压明显增高，这种情况被称作“隐匿型高血压”或“夜间高血压”。如果不在家中自己测量，这种高血压患者很容易被漏诊。鉴于上述原因，应该鼓励患者自己在家中测量血压。

 

为保证自测血压的准确性，患者应注意以下事项：1. 购买经过国家认证的符合计量标准的血压计（为避免广告嫌疑，我不建议具体品牌了，可咨询销售商）。要买上臂式血压计，不要买腕式的，后者容易产生误差；2. 使用前医生应指导患者正确的测量方法，避免因测量方法不当导致的误差；3. 在接受药物治疗初期或调整降压药物过程中，每天测量2-3次为宜（如早晚或早中晚各测量一次）。过于频繁的自测血压容易影响测量准确性。病情稳定且治疗方案固定的患者，每周测量1-2天，每天早晚各测一次即可；4. 准备好专门的记录本，将每次测量结果（包括脉搏数）详细记录下来，供医生参考。就诊时带上自测血压记录，既有助于医生全面了解患者血压波动情况，又可缩短医生问诊所需要的时间。

 

如果在医院测量血压增高，但在家中测量正常，这提示患者存在“白大衣现象”或“诊室高血压”，这些患者一般不需要药物治疗；反之，如果在医院测量血压正常，但在家中自测血压增高，则说明存在隐匿型高血压，这些患者多需治疗。正在接受降压药物治疗的患者，则需要调整药物剂量。

 

需要强调一点，虽然鼓励患者在家自测血压，但患者不应自行更改治疗方案。降压方案的制定是一个很复杂的过程，一定要在医生指导下进行。

 


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生活中有很多的人会出现低血压的情况，出现这种疾病的时候，患者会感觉到头晕，头痛，身体疲惫，身体乏力，所以，我们应该了解低血压的常见症状，合理的进行治疗，那么，低血压的常见治疗方法主要是什么呢?

 

\"低血压如何治疗


　　1.低血压治疗：西医

 

　　生理性低血压状态一般不需要特殊治疗，但应定期随访，因为某些所谓生理性低血压状态在一定情况下，可能转变为低血压病，也可能原属病理性低血压病，只是早期未能发现有关病理改变而误认为是生理性低血压状态。

 

　　2.低血压治疗：中医

 

　　中药治疗：中医认为低血压病主要是心脾阳虚，阳气不足，血行乏力所致。因此，主要治则是温补通阳，佐以补脾健运。一般情况下可用肉桂、桂枝、甘草各10g，1剂/d，水煎服或泡开水当茶饮。若伴睡眠欠佳者可加夜交藤30～50g。舌红少津咽干者加麦冬15g、五味子10g。此外，根据辨证施治，可辅以中成药如归脾丸或人参营养丸等也有一定疗效。

 

　　3.低血压治疗：饮食食疗方

 

　　加强营养，多食易消化蛋白食物，如：鸡、蛋、鱼、乳酪、牛奶等;多喝汤，多饮水，增加盐份摄入。


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生理性低血压状态一般不需要特殊治疗，但应定期随访，因为某些所谓生理性低血压状态在一定情况下，可能转变为低血压病，也可能原属病理性低血压病，只是早期未能发现有关病理改变而误认为是生理性低血压状态。那么低血压怎样治疗？

 

\"低血压怎样治疗\"


(1)饮食营养方面应给予高营养、易消化和富含维生素的饮食：

适当补充维生素C、维生素B族和烟酰胺(维生素PP)等。适当饮用咖啡、可可和浓茶，有助于提高中枢神经系统的兴奋性，改善血管舒缩中枢功能，有利于提升血压和改善临床症状。此外，饮用蜂蜜或蜂王浆也有裨益。

 

(2)适当参加运动和医疗体育：

生活要有规律，防止过度疲劳，因为极度疲劳会使血压降得更低。要保持良好的精神状态，适当加强锻炼，提高身体素质，改善神经、血管的调节功能，加速血液循环，减少直立性低血压的发作，老年人锻炼应根据环境条件和自己的身体情况选择运动项目，如太极拳、散步、健身操等。

 

(3)对于上述治疗无效：

且临床症状严重者，可酌用小剂量激素，如9-a氟氢可的松0.1mg/d开始，根据治疗反应逐渐增加剂量，本药具有水钠潴留作用，通过增加血容量而提高血压。必要时可辅以咖啡因、麻黄碱(15～30mg，1～3次/d)和盐酸士的宁肌内注射。此外，根据临床症状可予以对症治疗。

 


","barId":"2012","topicTypeId":"1","topicThemeId":"1028","readLevel":1,"files":"[]","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":1448,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1509587635838,"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":1509587635838,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8b39c578b53311e7a3d800163e04584d","isDel":0,"createAt":1508461864166,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"梅油油","password":"kongbaige113","level":0,"nickName":"梅油油","realName":null,"signName":"。。。。。","head":"http://01luntan.com/ly_img/1508466006878.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"541586403@qq.com","address":null,"identityType":5,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":2,"provinceId":"140000","cityId":"140800","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"3411","isDel":0,"createAt":1486355712042,"createBy":"6aad1b12ea7211e6a61c00163e04584d","createName":"茉莉花","updateAt":0,"updateBy":null,"updateName":null,"userId":"6aad1b12ea7211e6a61c00163e04584d","title":"低血压综合征：必须被逐渐重视的话题","content":"

\"201605291464535843331004.jpg\"/

当低血压合并出现相应症状或体征时，我们称其为低血压综合征，它的具体定义为血压绝对或相对地降低、伴有相应靶器官、尤其是脑循环缺血症状。我们常常把低血压综合征按发病缓急分为慢性和急性，按其病因分为神经源性和非神经源性、混合性。

随着人口老龄化，低血压的发生率越来越多，有研究报道65岁以上住院老年患者能达到一半以上，由于低血压过程中重要脏器的急性或慢性缺血，减少脑循环灌注、增加卒中和痴呆风险；削弱立位平衡的稳定性、增加跌倒风险；降低心脏灌注、增加冠脉事件发生率、也加重左室结构和功能损害、增加房颤发生率；降低肾脏灌注、导致肾脏功能恶化等等，因此总体增加了致残率、住院率和全因死亡率。

低血压综合征在多个学科可以看到它的身影，如在消化内科、心内科、神经内科、内分泌科、呼吸内科、肾内科、神经外科、心脏和血管介入治疗术后、产科等，并交叉冠以不同的名字如直立位低血压、餐后低血压、特发性低血压、妊娠后期仰卧位低血压、透析相关低血压、颈动脉支架术后低血压、内分泌性低血压、心源性低血压、肺源性低血压、药源性低血压（抗高血压药等）、麻醉后低血压、颈动脉窦高敏性低血压、Shy-drag综合征等。

血压维持的三要素包括心脏泵血功能、周围血管阻力、以及血容量，血压的调节同样需要神经、体液调节、肌肉紧张度来完成，其中之一任何环节的异常都有可能使血压维持发生紊乱。增龄对血压的调节机制的影响巨大，随着年龄增加，脑血流量降低、压力感受器反射受损、肾脏水钠储存功能降低、左室舒张早期充盈受损，均使得老年人的血压调节能力减弱，更容易发生低血压综合征。

低血压综合征的危险因素主要包括神经源性和非神经源性，常见的神经源性因素有疼痛或伤害性刺激、情境性刺激 (排尿, 咳嗽, 排便等)、颈动脉窦过敏、恐惧、长时间站立、热暴露等，非神经源性危险因素中以心血管因素最危险，如心律失常 – 过速 或过缓、主动脉窦破裂或夹层破裂、瓣膜狭窄、心肌病致流出道梗阻、肺栓塞、锁骨下动脉盗血等，另外，还有一些混合性的因素，如利尿剂、降压药、酒精摄入、脱水等，所以当我们面对一个低血压综合征患者时，我们需要多方面、多角度进行思考和判断。

低血压综合征患者的诊断不仅需要连续的血压监测、动态心电图的观察，以及其他相关危险因素的排查，心脏自主神经功能的检测也尤其重要。低血压综合征是多学科常遇到的临床现象，低血压的危害并不止于卒中、跌倒和骨折、了解和掌握心血管自主神经功能的评价方法更有助于我们认识低血压综合征的本质。

针对低血压综合征患者的治疗尽管包括物理和药物等多种治疗，其中药物有氟氢可的松、米多君、非类固醇性抗炎药、选择性5-羟色胺再摄取抑制剂、屈昔多巴（中枢神经系统药物/抗运动障碍药/抗帕金森病药）、其他（促红素、丙酸睾丸酮、中药），但是不同的低血压患者仍然需要进行个体化的，有针对性的治疗。

随着人们对低血压危害性的认识，低血压综合征将会成为一个被越来越重视、深入研究的临床课题。


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    血压高了不好，人所共知，家喻户晓。血压低就好吗？本来血压高与血压低是矛盾的两个方面，相辅相成，对立统一，不偏不倚才是正确之道。但由于不科学的片面宣传使人们产生了理解上的偏差，误以为正常血压是120/80mmHg，大于140/90mmHg都是高血压，并必须加心纠正，不然的话就会大祸临头,甚至认为血压越低越好对躯体越有利。血压短暂性增高，或正常的波动增高就焦虑不安。不论男女老少、无论有无疾病及身体状况一律追求所谓的“标准血压”－120/80mmHg，对高血压采取“零容忍”。超过140/90mmHg就一定要降下来，一种降压不行就增加至二种，一片不行就增加至二片，一次不行就增加至多次，不降下来绝不罢休。如此以来，因降压过低引发脑梗塞有之，在脑梗塞的基础上降压过低偏瘫加重者有之，降压过低引起思睡、乏力、头晕、头痛、思睡、反应迟纯、跌倒跌伤者有之，引发脏器功能障碍者有之。因服降压药物过量造成纳差、胃痛、胃炎、胃穿孔、肾功能不全者有之。

血压高真的就这么可怕吗？血压低了真的就会有益吗？从正反两个方面来看，血压高有高的好处，高有高的坏处，反过来一样，低有低的好处，低也有低的坏处。哪到底是高好？还是低好呢？正确的认识是高也不好，低也不好，不高不低适合你最好。那血压多少是不高不低呢？所谓不高不低的适当血压是不同的，是因人因时变化的。也就是说因人而异，因时而异。不同人的条件不同，血压当然不能统一。人的不同时期和同一时期不同的活动强度对血压的要求也是不同的。如活动强度大时就需要血压升高，以满足对血流量的需要；随着年龄的增长，动脉硬化的发展，血管阻力的加大，为保证组织的正常血流量的也需要血压升高。

在这里讲一个道理，血压有什么作用呢？血压是推动血液向远端流动的压力，压力大推动力大，血液的流量就多，流的距离就远，组织的供血量就多，脏器的功能就能正常。反之。压力小推动力就小，血流量就少，血液流动的距离就近，组织的供血就会减少，脏器的功能就会不正常。但血压过高会对血管壁产生压力，严重时会发生扩张，轻则造成慢性血管损伤，重则发生破裂出血。因此，血压过高血流量是增加了，但血管受损伤了，过高还有可能造成血管破裂，这也是不值得的；反之，血压低，供血减少，脏器功能障碍同样也要避免。

当然喽，人的机体是非常复杂的工程系统，神经体液系统的调节是十分精细而的，并有良好的适应性，不是一两句话就能说清的。举个例子说吧，一个人的高压在120－160mmHg、低压在70－90mmHg之间波动不会对机体造成影响，这就是机体调节的结果。尽量保持血压的稳定是对的，但要保持绝对的稳定是不可能的，也没必要刻意追求。

那一个人的血压多少为合适呢？刚才已说过了，因人而异，因时而异。比如，年轻人，高压90mmHg，低压50mmHg，并没有异常感觉，是正常血压，不需治疗。而80岁老人，高压130mmHg，低压90mmHg，就可能出现站立时头晕，躺下头晕消失的低血压的表现，就可诊断低血压，需要升血压治疗。

 　　　就某一个人来说就怎样确定适合自己的血压呢？这是个比较复杂的问题，最好找医生帮助解决。


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\"1411565409_39513.jpg\"/

体位性低血压可以由于自主神经损害而导致，治疗方法如下：

1、防止加重因素：过快改变体位、早晨、大餐、长时间倚靠、温暖环境、增加胸腔压力（咳嗽、排尿和排便）和扩张血管药物

2、弹力袜子

3、减少盐的丢失，吃氟氢可的松0.1mg /日

4、收缩血管药物

a)增加血管阻力，米多君10mg2-3次/日，苯丙醇胺25mg 3次/日

b)减少容量: 双氢麦角胺

c)间接药物：麻黄素

5、 防止血管扩张

a)前列腺素合酶抑制剂: 吲哚美辛（消炎痛）和氟比洛芬

b)多巴胺受体阻滞剂：胃复安和多潘立酮

c)β-2 肾上腺素受体阻滞剂：普萘洛尔（心得安）

6、防止餐后低血压

a)防止胃充盈: 少食多餐

b)腺苷受体阻滞剂: 咖啡因250 mg

c)起床前或饭前浓咖啡或茶

d)饮水：快速饮水、餐前5分钟饮水120 -480 ml，每天入量2 - 3升

e)活动，增加去甲肾上腺素

f)多肽释放抑制剂: 生长抑素类似物; 奥曲肽

g)其他药物: 布洛芬400 mg; 苯丙醇胺25 mg; 麻黄素滴鼻1 到2 次

7、增加心脏输出: 心得静和扎莫特罗

8、增加红细胞数: 红细胞生成素

9、减少夜间多尿: 去氨加压素

10、减少舒张期跌倒，溴比斯的明60mg

11、防止卧位高血压: 减少氟氢可的松、晚6点后不用血管收缩药物、睡眠去枕、使用ACE抑制剂依那普利（上床后最大量）


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\"6d452b9eaaad4cb7a8e91b7d582c2653_th.jpg\"

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血压测量值低于正常值，也就是低于90/60mmHg以下时，称为低血压。当血压下降的程度低于正常值，且维持一定的时间和状态时，即为低血压状态。血压的高低可以与性别、年龄、体型、服药状况、是否合并其他疾病等有关。如果是仅仅偶测血压低于正常，同时又无任何不适症状，可暂时观察，无需紧张。如果一段时间内血压持续低于正常，同时伴有头晕眼花，乏力等症状，就必须要引起重视了。

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首先，要找出自己血压低的原因。1.许多清瘦苗条的年轻女性，有时测血压会低于正常，但又没有头晕等不适症状，可以多锻炼，增强体质，无需治疗。2.还有一些年龄大于70岁的老年人，由于动脉硬化，舒张压往往低于60mmHg,这部分老年人可以根据收缩压的高低适当进行血压调整。3.一些合并冠心病等病人由于服用的药物的影响，如硝酸甘油、美托洛尔等，就需要及时调整药物。4.继发于其他疾病的低血压，如心功能不全、心肌梗死、末梢血管扩张、急性胃肠炎剧烈的呕吐腹泻、大量失血、甲状腺功能低下等。这些情况需要积极治疗原发病。

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那么血压低了，到底怎么办？如果是找不到明确的原因，那么，我们就要采取以下一些措施。1.增加食盐的摄入量，每日食盐摄入量可以达到12到15克。这与高血压病人限制盐摄入恰恰相反。2.多喝一些含盐的汤类，增加血容量。3.瘦弱的人可适当增加体重。4.增加营养，多吃一些有利于升高血压的滋补品。如人参、黄芪、生脉饮等。5.多进行体育锻炼，增强机体的调节能力。6.防止晕倒，低血压患者，尤其是老年人，平时注意从卧位或坐位到立位时，动作要缓慢，以防脑缺血而晕倒。6.药物治疗，可选择米多君、管通等。

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　\"mp32259615_1442472486382_2.png\"/　

      1.晚上睡觉将头部垫高，可减轻低血压症状。

　　2.早上起床时，应缓慢地改变体位，防止血压突然下降，起立时不能突然，要转身缓缓而起，肢体屈伸动作不要过猛过快，例如提起、举起重物或排便后起立动作都要慢些。

　　3.洗澡水温度不宜过热、过冷，因为热可使血管扩张而降低血压，冷会刺激血管而增高血压。常淋浴以加速血液循环，或以冷水，温水交替洗足。

　　4.对有下肢血管曲张的老人尤宜穿有弹性的袜子、紧身裤，以加强静脉回流。体格瘦小者应每天多喝水以便增加血容量。

　　5.不要在闷热或缺氧的环境中站立过久，以减少发病。


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