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style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">脑梗死就是平时人们说的脑梗塞、脑血栓，脑出血就是平时人们所说的脑溢血。这两种病是严重危害我国居民生命健康的常见疾病。除少数患者存在脑血管畸形外，多数脑出血的发生均与高血压有关。与此同时，高血压也是导致脑梗死的主要原因。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">高血压为什么引起脑梗脑出血呢？</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">首先说说脑出血：我们的动脉是一套弹性良好的管路系统。根据身体需要，动脉可以收缩或舒张，调整脏器的血液供应。常年高血压，如果不加以控制，就会使血管持续处于扩张状态而变硬、变脆、失去弹性（就好比一个气球被吹胀多日后，放掉空气也不能恢复原样）。在这种情况下，如果血压明显升高，就会使血管破裂、血液外溢，挤压脑组织，形成脑出血。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px;line-height:200%\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1554821605787.jpg\" title=\"高血压为什么引起脑梗脑出血\" alt=\"高血压为什么引起脑梗脑出血\" width=\"600\" height=\"450\"/></span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">再说说脑梗死：我们动脉血管的管壁分三层，最内部一层膜很光滑、很严密。如果常年高血压不加以控制，持续高压的血流就会使血管内膜破损，产生小缺口。我们的血液里都有胆固醇，在健康人胆固醇难以进入血管壁。当血管内膜被高血压破坏后，胆固醇就会乘机进入其中，并越积越多形成斑块。若不及时采取有效措施，斑块就会越长越大，导致血管腔明显狭窄，就会发生脑缺血。如果斑块突然破裂，就会在这个位置形成血栓，使血管腔完全闭塞，相应区域的脑组织就会因持续而严重的缺血而发生坏死。这就是脑梗死。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">此外，常年高血压控制不佳，还可以导致心房扩张，增加房颤的发生率。房颤也是引起脑梗的重要原因之一。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%\"><br/> </span><span style=\"font-size:19px;line-height:200%;font-family:宋体\">由此可见，发生高血压后一定要坚持长期治疗，无论有无症状都不能掉以轻心。只要长期有效的控制血压，就能够大幅度的降低发生脑梗死与脑出血的风险。</span></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; color: rgb(34, 34, 34);\"><img src=\"http://01luntan.com/ly_img/uimgs/1554737700300.png\" title=\"高血压为什么引起脑梗脑出血\" alt=\"高血压为什么引起脑梗脑出血\" width=\"150\" height=\"150\"/></span></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\">下载二维码，微信识别，观看丁荣晶教授主讲三小时的《</span><strong style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\">心肌梗死与心肌康复</strong><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\">》</span></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\"><img src=\"http://01luntan.com/ly_img/uimgs/1554819267885.jpg\" title=\"高血压为什么引起脑梗脑出血交流群二维码\" alt=\"高血压为什么引起脑梗脑出血交流群二维码\" width=\"219\" height=\"300\"/></span></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\"></span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; font-family: 宋体;\">欢迎扫描二维码加入</span><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px;\">QQ</span><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; font-family: 宋体;\">群，听听病友们怎么说，听听医生怎么说</span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","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":30},{"id":"27044","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"健康饮食能降压吗","content":"<p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">在丁荣晶教授《心肌梗死与心肌康复》读者交流群里</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，有患者问过，</span></span><strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">健康饮食能降压吗</span></span></strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？找良医网告诉你，这个是有帮助的，我们一起往下看！</span></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1569317049044.jpg\" title=\"健康饮食能降压吗\" alt=\"健康饮食能降压吗\" width=\"600\" height=\"372\"/></span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">轻度高血压患者通过合理饮食，就有可能使血压下降；即使较严重的、已经在服药的高血压患者，也可通过饮食疗法降低血压，减少用药剂量和预防并发症。</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1569317645786.jpg\" title=\"健康饮食能降压吗\" alt=\"健康饮食能降压吗\" width=\"219\" height=\"300\"/></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">欢迎扫描二维码加入</span>QQ群，听听病友们怎么说，听听医生怎么说！</span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","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":31},{"id":"25421","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"女人吃降压药能要孩子吗?男人吃降压药对女人怀孕有影响吗","content":"<p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">女人吃降压药能要孩子吗?男人吃降压药对女人怀孕有影响吗？</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">无论论男士或者女士，吃着降压药期间都可以准备生育，但在此之前要把血压控制好。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">如果是男性并且正在应用降压药物治疗，应该继续用药控制血压，降压药不会对胎儿健康产生明显影响。一些药物可能会影响性功能与性生活质量，可以在医生指导下更换药物。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1556551438026.png\" title=\"女人吃降压药能要孩子吗?男人吃降压药对女人怀孕有影响吗\" alt=\"女人吃降压药能要孩子吗?男人吃降压药对女人怀孕有影响吗\" width=\"676\" height=\"468\"/></span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">如果是女性，备孕期间应该在医生指导下对所服用的降压药进行必要的调整。血管紧张素转换酶抑制剂（普利类）和血管紧张素受体阻滞剂（沙坦类）具有明显的致畸作用，对胎儿生长发育具有不良影响，备孕阶段应该停用，改用其他类型降压药物（推荐用甲基多巴或拉贝洛尔，必要时联合应用硝苯地平控制片或氨氯地平）。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">与普通高血压患者不同，怀孕期间不宜将血压控制过于严格，如果血压不超过150/100 mmHg，不建议应用降压药物。</span></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">由于妊娠期间更易出现血压波动，因此怀孕后应该更为密切的观测血压。</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\"><img src=\"http://01luntan.com/ly_img/uimgs/1556550813103.jpg\" title=\"女人吃降压药能要孩子吗?男人吃降压药对女人怀孕有影响吗\" alt=\"女人吃降压药能要孩子吗?男人吃降压药对女人怀孕有影响吗\" width=\"250\" height=\"343\"/></span></p><p style=\"line-height: 200%;\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\"></span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">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</span></p><p style=\"line-height: 200%;\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\"></span><br/></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"","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":1,"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":11},{"id":"17820","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"什么原因引起血压高","content":"<p style=\"text-indent:28px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\";font-family:宋体;line-height:200%;font-size:16px\"><span style=\"font-family:宋体\">什么原因引起血压高？有什么好的方法？</span></span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","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":30},{"id":"25791","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"看电脑久了眼花看不清","content":"<p style=\"line-height:200%\"><span style=\"font-size:19px;line-height:200%;font-family:宋体\">刚一个同事，过来跟我说 ，看电脑久了眼花看不清，我问他是只有眼花还是什么 。他说最近血压200左右，最低也要170，血糖20多，还在坚持工作，我说你应该住院了，他说活还没有干完，但是看电脑字不清楚。。。。。太危险了，我说你要不舒服 即使说 哥们这有速效 ，他说还没有这个症状，他还每天喝酒抽烟呢。 我说你戒了吧。。。。。。。。。。。</span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","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":30},{"id":"27108","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"如何判断有没有高血压","content":"<p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">在丁荣晶教授《心肌梗死与心肌康复》读者交流群里</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，有高血压的病人问过，</span></span><strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">如何能早发现高血压</span></span></strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？找良医网在本文中为您解答这个问题。</span></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1569572359278.jpg\" title=\"如何判断有没有高血压\" alt=\"如何判断有没有高血压\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">要实现高血压的早发现早治疗，最重要的就是定期测血压。健康成年人每年应测量一次血压；易患高血压的人群，每半年至少测</span>1次血压。易患高血压的人群包括：年龄≥55岁、血压≥130/80 mmHg、肥胖/超重或腹型肥胖、高血压家族史（父母或者兄弟姐妹中存在男55岁、女60岁之前发病）、吸烟、长期高盐饮食和长期过量饮酒（白酒≥２两/天）。</span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1569572268906.jpg\" title=\"如何判断有没有高血压\" alt=\"如何判断有没有高血压\" width=\"219\" height=\"300\"/>&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">欢迎扫描二维码加入</span>QQ群，听听病友们怎么说，听听医生怎么说！</span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","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":30},{"id":"25156","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"颈动脉斑块一定要吃阿司匹林吗","content":"<p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">近年来颈动脉超声检查普遍开展，很多患者或健康查体者被发现有颈动脉斑块。存在颈动脉斑块一定要吃阿司匹林吗？还是需要应用他汀和阿司匹林治疗呢？这是临床上经常被患者问到的问题。</span><strong style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size:19px;line-height:200%;font-family:宋体;color:#D92142;letter-spacing:0\">这个问题无法一概而论，应结合患者的颈动脉狭窄程度、是否存在心血管病或心血管病危险因素以及低密度脂蛋白胆固醇（LDL-C）水平综合考虑</span></span></strong><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">。可以按照以下方法做出初步决定：</span></span></p><p style=\"margin-bottom: 0px; text-align: center; line-height: 200%; background: white;\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:0\">&nbsp;<img src=\"http://01luntan.com/ly_img/uimgs/1554821573527.jpg\" title=\"颈动脉斑块一定要吃阿司匹林吗\" alt=\"颈动脉斑块一定要吃阿司匹林吗\" width=\"500\" height=\"333\"/></span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">　　<strong style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-family:宋体\">若颈动脉斑块导致了颈动脉明显狭窄（狭窄≥50%），其处理原则与确诊冠心病或缺血性卒中相同（均属于动脉粥样硬化性心血管疾病），应该立即接受他汀治疗，将LDL-C控制在1.8mmol/L以下。若无禁忌证，还应接受阿司匹林抗血小板治疗。这两类药物均需长期服用。</span></strong></span></span></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:0\">&nbsp;</span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">　　若颈动脉斑块未导致明显狭窄（狭窄程度＜50%），则需要评估患者是否存在心血管病或其他心血管病危险因素，决定是否应用他汀治疗。可有以下几种情况：</span></span></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">1</span><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">、已确诊冠心病或缺血性卒中，无论颈动脉有无明显狭窄均应立即接受他汀治疗，将LDL-C控制在1.8mmol/L以下；</span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">2</span><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">、无冠心病和缺血性卒中，但患有糖尿病并伴高血压，也应服用他汀将LDL-C控制在1.8mmol/L以下；</span></span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">3</span><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">、年龄≥40岁的糖尿病患者，且LDL-C＞2.6 mmol/L，需要接受他汀治疗；</span></span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">4</span><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">、慢性肾病（III期或IV期）且LDL-C＞2.6 mmol/L，需要接受他汀治疗；</span></span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">5</span><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">、存在高血压或其他危险因素、且LDL-C＞3.4 mmol/L，建议应用他汀治疗将LDL-C降至＜3.4 mmol/L。</span></span></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:0\">&nbsp;</span></p><p style=\"margin-top:3px;margin-right:0;margin-bottom:3px;margin-left: 0;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:white\"><span style=\"font-size: 19px;line-height: 200%\">　　以上是一种简单的判定方法，在临床上还应全面分析患者其他情况综合判断。若颈动脉斑块未导致明显狭窄（狭窄程度＜50%），是否应用阿司匹林治疗也需全面考量。如果患者合并冠心病或缺血性卒中，应该应用阿司匹林治疗。</span></p><p style=\"margin-top:3px;margin-right:0;margin-bottom:3px;margin-left: 0;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:white\"><span style=\"font-size: 19px;line-height: 200%\"></span></p><p style=\"margin-top:3px;margin-right:0;margin-bottom:3px;margin-left: 0;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:white\"><span style=\"font-size: 19px;line-height: 200%\">年龄50-70岁之间的患者，如果颈动脉斑块未导致明显狭窄，并且患者未合并冠心病或缺血性卒中等动脉粥样硬化性心血管疾病，需要进行谨慎评估后决定是否应用阿司匹林。如果同时存在高血压、糖尿病、吸烟、高血脂等多种危险因素，并且没有出血的高危因素，可以考虑应用小剂量阿司匹林治疗。</span></p><p style=\"margin-top:3px;margin-right:0;margin-bottom:3px;margin-left: 0;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:white\"><span style=\"font-size: 19px;\">&nbsp;</span><br/><span style=\"font-size: 19px;line-height: 200%\"></span></p><p style=\"margin: 3px 0 0;text-align: justify;line-height: 200%;background: white\"><strong><span style=\"font-size: 19px;line-height: 200%;font-family: 宋体\">年龄＜50岁或者＞70岁，发现颈动脉斑块但未导致明显狭窄，并且没有合并冠心病或缺血性卒中，一般无需应用阿司匹林。</span></strong></p><p style=\";margin-bottom:0;text-align:justify;text-justify: inter-ideograph;line-height:200%;background:white\"><span style=\"color: rgb(51, 51, 51); font-size: 19px; letter-spacing: 0px;\">&nbsp;</span><br/><span style=\"font-size:19px;line-height:200%;color:#333333;letter-spacing:0\"></span></p><p style=\";text-align: justify;line-height: 200%;background: white;max-width: 100%;min-height: 1em;widows: 1;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><strong style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size:19px;line-height:200%;font-family:宋体;color:#D92142;letter-spacing:0\">关键信息</span></span></strong></span><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\">：<strong style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-family:宋体\">没有导致明显狭窄的颈动脉斑块不是应用他汀和阿司匹林治疗的指征。有人一见到斑块就应用他汀和阿司匹林，这是不合理的。</span></strong></span></span></p><p style=\"text-align: center; line-height: 200%; background: white; max-width: 100%; min-height: 1em; widows: 1; box-sizing: border-box !important; word-wrap: break-word !important;\"><br/></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; color: rgb(34, 34, 34);\"><img src=\"http://01luntan.com/ly_img/uimgs/1554737700300.png\" title=\"颈动脉斑块一定要吃阿司匹林吗\" alt=\"颈动脉斑块一定要吃阿司匹林吗\" width=\"150\" height=\"150\"/></span></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\">下载二维码，微信识别，观看丁荣晶教授主讲三小时的《</span><strong style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\">心肌梗死与心肌康复</strong><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\">》</span></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\"><img src=\"http://01luntan.com/ly_img/uimgs/1554819267885.jpg\" title=\"颈动脉斑块一定要吃阿司匹林吗交流群二维码\" alt=\"颈动脉斑块一定要吃阿司匹林吗交流群二维码\" width=\"219\" height=\"300\"/></span></p><p style=\"margin-top: 12px; margin-bottom: 12px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; background: white; -webkit-tap-highlight-color: transparent; box-sizing: border-box;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-family: 宋体; font-size: 19px;\"></span></p><p style=\"margin-top: 0px; margin-bottom: 0px; padding: 0px; color: rgb(46, 46, 46); font-family: &quot;Microsoft YaHei&quot;; font-size: 14px; white-space: normal; line-height: 28px; text-align: center;\"><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; font-family: 宋体;\">欢迎扫描二维码加入</span><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px;\">QQ</span><span style=\"letter-spacing: 0px; margin: 0px; padding: 0px; font-size: 19px; line-height: 38px; font-family: 宋体;\">群，听听病友们怎么说，听听医生怎么说</span></p><p style=\"text-align: center; line-height: 200%; background: white; max-width: 100%; min-height: 1em; widows: 1; box-sizing: border-box !important; word-wrap: break-word !important;\"><span style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-size: 19px;line-height: 200%;letter-spacing: 0\"><strong style=\"max-width: 100%;box-sizing: border-box !important;word-wrap: break-word !important\"><span style=\"font-family:宋体\"><br/></span></strong></span></span><br/></p><p style=\"line-height:200%\"><span style=\"font-size: 19px;line-height:200%;font-family:宋体\">&nbsp;</span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"[]","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":30},{"id":"25747","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"什么叫季节性高血压","content":"<p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">你知道</span></span><strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">什么叫季节性高血压吗</span></span></strong><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？如果有这方面的情况，</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">怎么办？</span></span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">今天，找良医网在本文中为您解答这个问题。</span></span></p><p style=\"margin: 0px; text-indent: 32px; padding: 0px; text-align: center; line-height: 200%; background: rgb(255, 255, 255);\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1560498918098.jpg\" title=\"什么叫季节性高血压\" alt=\"什么叫季节性高血压\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">Q：什么是季节性高血压，怎么办？</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">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。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">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。</span></span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">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</span>“季节性高血压”。</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;</span></p><p style=\"margin-top:0;margin-right:0;margin-bottom:0;margin-left:0;text-indent:32px;padding:0 0 0 0 ;text-autospace:ideograph-numeric;text-align:justify;text-justify:inter-ideograph;line-height:200%;background:rgb(255,255,255)\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">“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。</span><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"margin: 0px; text-indent: 32px; padding: 0px; text-align: center; line-height: 200%; background: rgb(255, 255, 255);\"><span style=\"font-family: 宋体;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1560498795986.jpg\" title=\"什么叫季节性高血压\" alt=\"什么叫季节性高血压\" width=\"219\" height=\"300\"/>&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">欢迎扫描二维码加入</span>QQ群，听听病友们怎么说，听听医生怎么说！</span></p><p><br/></p>","barId":"1920","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"","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":30}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"27015","isDel":0,"createAt":1569226299456,"createBy":"425fdc1d2e6111e8a3d800163e04584d","createName":"求一红颜笑看余生","updateAt":0,"updateBy":null,"updateName":null,"userId":"425fdc1d2e6111e8a3d800163e04584d","title":"高血压喝点酒好吗","content":"<p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">在丁荣晶教授《心肌梗死与心肌康复》读者交流群里</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">，有高血压病人问过，</span></span><strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">高血压喝点酒好吗</span></span></strong><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">高血压病人喝点酒是不是对心脏好</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">？找良医网为您解答这个问题！</span></span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1569226993953.jpg\" title=\"高血压喝点酒好吗\" alt=\"高血压喝点酒好吗\" width=\"600\" height=\"372\"/>&nbsp;</span></p><p style=\"text-indent:32px;text-autospace:ideograph-numeric;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span style=\"font-family:宋体\">长期过量饮酒是高血压、心血管病发生的危险因素。饮酒还可对抗降压药的作用，使血压不易控制，戒酒后，除血压下降外，降压药的疗效也大为改善。尽管有报道少量饮酒可能减少冠心病发病的危险，但少量饮酒的定义不同，不同饮酒量与健康的关系很难达成共识，故不提倡少量饮酒预防冠心病，故高血压患者最好不饮酒。</span></span><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1569227091105.jpg\" title=\"高血压喝点酒好吗\" alt=\"高血压喝点酒好吗\" width=\"219\" height=\"300\"/>&nbsp;</span></p><p style=\"text-indent: 32px; line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;letter-spacing: 0;font-size: 16px\"><span 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