{"nowTime30":1787523790949,"lyBarModerator":null,"metaSearch":{"description":"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","keywords":"规范测量血压三要点是什么?_洞医","title":"规范测量血压三要点是什么?_洞医","channels":null},"identificate":{"id":null,"isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"realName":null,"certifiedStatus":0,"phone":null,"email":null,"hospitalId":null,"departmentId":null,"illName":null,"illId":null,"cardType":0,"cardImg":null,"idCardImg":null,"identityType":0,"stop":0,"departmentName":null,"hospitalName":null},"canEdit":null,"adList":[{"id":"c59ad6e35ae611eaa47600163e0462f1","isDel":0,"createAt":1582975779233,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"3小时视频教您预防冠心病","image":"http://www.01luntan.com/ly_img/admin-17bbb6af-f48b-4780-b676-e3c3a791b9af.jpg","url":"https://item.taobao.com/item.htm?spm=a2oq0.12575281.0.0.25911debW42Sos&ft=t&id=570218058387","type":2,"webType":2,"sortNo":5,"dataRelType":1,"dataRelId":"1920"},{"id":"eea95a775ae611eaa47600163e0462f1","isDel":0,"createAt":1582975848122,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"50%脑溢血由高血压引起","image":"http://www.01luntan.com/ly_img/admin-52771b12-2d6a-4864-b55a-07dbc4b20a31.jpg","url":"https://item.taobao.com/item.htm?spm=a2oq0.12575281.0.0.25911debW42Sos&ft=t&id=578102928846","type":2,"webType":2,"sortNo":4,"dataRelType":1,"dataRelId":"1920"},{"id":"47b1e76f5ae711eaa47600163e0462f1","isDel":0,"createAt":1582975997495,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"高端医学心率手环","image":"http://www.01luntan.com/ly_img/admin-234cf985-e4c8-4b34-a03e-5af456253e23.jpg","url":"https://item.taobao.com/item.htm?spm=a2oq0.12575281.0.0.3a141debmCd65t&ft=t&id=606581200855","type":2,"webType":2,"sortNo":3,"dataRelType":1,"dataRelId":"1920"},{"id":"45a2b87e5ad111eaa47600163e0462f1","isDel":0,"createAt":1582966545112,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"冠心病预防手环","image":"http://www.01luntan.com/ly_img/admin-6aa70ae1-6f35-40e5-b8b6-206d8221679e.jpg","url":"https://item.taobao.com/item.htm?spm=a2oq0.12575281.0.0.3a141debmCd65t&ft=t&id=600542827058","type":2,"webType":2,"sortNo":1,"dataRelType":1,"dataRelId":"1920"},{"id":"7533f76f5ae611eaa47600163e0462f1","isDel":0,"createAt":1582975644347,"createBy":"sys","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"name":"高血压病友群","image":"http://www.01luntan.com/ly_img/admin-d5ce5a0c-197e-460d-a454-a7118c93678e.png","url":"https://jq.qq.com/?_wv=1027&k=5dXIpzJ","type":2,"webType":2,"sortNo":1,"dataRelType":1,"dataRelId":"1920"}],"lyBar":{"id":"1920","isDel":0,"createAt":1483430796228,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"高血压","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"105ebf3ebadb11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为您提供:高血压论坛_年轻人高血压论坛_中国高血压论坛交流平台，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"高血压论坛_年轻人高血压论坛_中国高血压论坛\",\"title\":\"高血压论坛_年轻人高血压论坛_中国高血压论坛\"},\"治疗\":{\"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\"},\"症状\":{\"description\":\"为您提供:高血压的症状是什么_高血压病人有什么症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"高血压的症状是什么_高血压病人有什么症状\",\"title\":\"高血压的症状是什么_高血压病人有什么症状\"},\"并发症\":{\"description\":\"为您提供:高血压对肾脏的危害_高血压对身体的危害有哪些等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"高血压对肾脏的危害_高血压对身体的危害有哪些\",\"title\":\"高血压对肾脏的危害_高血压对身体的危害有哪些\"},\"饮食\":{\"description\":\"为您提供:高血压吃什么食物好的快_高血压不宜吃什么食物等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"高血压吃什么食物好的快_高血压不宜吃什么食物\",\"title\":\"高血压吃什么食物好的快_高血压不宜吃什么食物\"},\"病因\":{\"description\":\"为您提供:引起高血压原因_高血压病是怎样引起的等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"引起高血压原因_高血压病是怎样引起的\",\"title\":\"引起高血压原因_高血压病是怎样引起的\"},\"病友求助\":{\"description\":\"为您提供:年轻人的高血压怎么办_刚得高血压怎么办等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"年轻人的高血压怎么办_刚得高血压怎么办\",\"title\":\"年轻人的高血压怎么办_刚得高血压怎么办\"},\"预防\":{\"description\":\"为您提供:年轻人怎么预防高血压_预防高血压吃什么最好等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"年轻人怎么预防高血压_预防高血压吃什么最好\",\"title\":\"年轻人怎么预防高血压_预防高血压吃什么最好\"}},\"description\":\"为您提供:高血压的症状是什么_高血压的治疗与预防_高血压吃什么补品好_高血压病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"高血压的症状是什么_高血压的治疗与预防_高血压吃什么补品好\",\"title\":\"高血压的症状是什么_高血压的治疗与预防_高血压吃什么补品好\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"27043","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"高血压患者饮食注意事项是","content":"

在丁荣晶教授《心肌梗死与心肌康复》读者交流群里，有病人问高血压患者饮食注意事项是什么？找良医网告诉你，高血压的饮食也是有规律的，我们一起往下看！

\"高血压患者饮食注意事项\" 

高血压患者饮食要少盐少油，营养均衡，您可以按照以下标准来安排自己的饮食：每天的食盐量不超过6克；每日食油小于25克；瘦肉类每日50~100克；奶类每日250克，蛋类每周3~4个；鱼类每周3次左右；新鲜蔬菜每日400~500克，水果100克；少吃或不吃糖类和甜食。      

\"高血压患者饮食注意事项\" 

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":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":62},{"id":"25409","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"高血压到底能不能喝酒","content":"

许多高血压的朋友经常问高血压到底能不能喝酒，有人说不能喝，那就再换一个人问，既然到了这里，我再说一句：高血压不能喝酒！！！

 

【其一】

很多人认为喝酒会降低血压，这是不准确的。长期大量喝酒肯定会增加高血压的发生率。喝酒对于血压的短期影响取决于饮酒量与喝酒者对酒精的耐受程度。一般来讲，少量饮酒可扩张外周血管，因而具有轻微的降压作用。但大量饮酒会增加交感神经系统兴奋性、增加心率与心脏排血量，所以具有升高血压的作用。多数人喝酒后，血压会呈现出先降后升的变化规律。

 \"高血压到底能不能喝酒\"

血压控制不良的高血压患者，大量喝酒后可以使血压进一步升高，增加突发心脑血管意外（如心肌梗死、脑出血等）的危险。同时，喝酒还可以对多种降压药与心脏药物的效果产生影响，进一步增加心脑血管事件的可能性。

 

【其二】

高血压病人最好不要大量喝酒，血压很高并且没有好好治疗的患者更不要大量喝酒，否则发生脑出血的风险会很大。

 

日本的一项大型前瞻性队列研究表明，男性大量饮酒者卒中死亡率明显增加，冠心病死亡率无明显变化；而女性大量饮酒者冠心病死亡率增加4倍，卒中死亡率增加2倍。少量饮酒使人群心血管疾病总死亡率明显下降。结果表明饮酒量对两性冠心病及卒中发生风险的影响存在明显差异。

 

该研究共入选46,465例男性及64,327例女性受试者，年龄40-79岁。既往有癌症、心肌梗死或卒中病史者未入选本研究。受试者均进行包括健康史及生活习惯的基线评估，并对其饮酒量进行评估（大量饮酒定义为每日平均酒精摄入量至少46克）。其中男性已戒酒者、不饮酒者和现饮酒者分别为22％、7％和71％，而女性则分别为83％、2％和15％；死亡率主要是通过死亡证明书进行统计。随访时间的中位数为14.2年。研究的主要终点是校正年龄、吸烟、教育水平及传统的心血管危险因素后饮酒与死亡率之间的相关关系。结果表明，随访期间共736例受试者死于冠心病，1628例死于卒中，其中缺血性卒中死亡率明显高于出血性卒中。男性受试者中，大量饮酒者卒中死亡率明显高于不饮酒者(HR=1.48)，其中出血性卒中死亡率(HR=1.67)和缺血性卒中死亡率(HR=1.35)均增高，而适量饮酒者（0.1-45.9克/日）心血管疾病总死亡率明显降低(HR=0.88)；女性受试者中，大量饮酒者心血管疾病总死亡率明显增加(HR=4.10)，而适量饮酒者（0.1-22.9克/日）心血管疾病总死亡率明显降低(HR=0.74)。此研究表明，大量饮酒可增加卒中死亡率和女性冠心病死亡率，而少量饮酒可降低心血管疾病总死亡率。分析其原因可能与饮酒对心血管系统的多重影响有关：大量饮酒可升高血压、增加心血管事件和严重心律失常的发生风险；而少量饮酒可降低血小板聚集力、增加纤维蛋白溶解、升高高密度脂蛋白胆固醇。后者有助于降低心血管疾病的发生风险。

 

需要特别说明的是，虽然一些研究发现少量饮酒可能有益，但对于平时无饮酒习惯者，不鼓励通过饮酒预防心血管事件。按照我国居民膳食指南，对于有饮酒嗜好者，一天饮酒的酒精量男性不超过25克，女性不超过15克。

 

【其三】

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。高血压患者最好不饮酒。如饮酒，建议少量，男性饮酒的酒精量不超过25 g。酒精的计算方法大致为：白酒中所含酒精的比例略低于酒的度数，如39°白酒的酒精含量为32.5% ；葡萄酒的酒精含量为13%～15% ；啤酒的酒精含量在4% 左右。按此计算，即为葡萄酒＜100～150 ml（相当于2～3两），或啤酒＜250～500 ml（半斤~ 1 斤），或白酒＜25～50 ml（半两～ 1 两）。女性减半，孕妇不饮酒。

 

不得不饮酒时，要尽量放慢饮酒速度，避免“干杯”或“一口饮”，饮酒要伴餐，减缓酒精的吸收速度，减轻酒精对胃的刺激。不饮高度烈性酒。

 

【其四】

喝酒后能不能运动？对于多数人而言，少量喝酒(一般指白酒不超过1两、啤酒不超过300毫升)对运动锻炼影响不大。

 

少数人对于酒精耐受性很差，少量饮酒就会引起不适症状，这些人最好不喝酒，喝酒后也不应该剧烈运动。即使是酒量很大的人，如果喝酒量较大，也不建议进行较为剧烈的运动。喝酒后很多人会心率增快，运动也可以引起心率快，因此喝酒后运动锻炼会进一步增快心率，加重心脏负担，有心脏病的人可能会诱发心脏病发作。另一方面，运动过程中血压会升高、且血液循环速度会加快，这可显著增加脑血流量进而增加酒精进入脑组织的数量，加重酒精对大脑的不利影响。此外，大量饮酒后会导致神经系统反应速度减慢、身体协调能力下降、对危险的判断能力消弱，在户外运动时容易发生意外受伤。

 

基于上述种种原因，不建议饮酒后进行较大量的运动锻炼。在临床上，喝酒后大量运动引起意外的病例并不少见。喝酒后应该安静休息，多喝水，食量进食一些水果或米粥之类的食物，有助于保护胃肠道并尽快将酒精代谢掉。

\"高血压到底能不能喝酒\"

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":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":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":17},{"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":"

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？

 

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。

 

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。

 \"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\"

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）。

 

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。

 

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。

\"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\"

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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男性吃降压药能要小孩吗

","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":125},{"id":"24992","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"高血压和生活不规律关系太大了","content":"

我今年24，我感觉高血压和生活不规律关系太大了，我的高血压完全是我自己嚯嚯的，每天抽烟两包多，天天熬夜，天天吃夜宵，大油大咸的，每天晚上都吃吃的很撑，我一米六八，160斤了，，其实之前有预警的，就是每天晚上十一点多或者十二点吃完夜宵就是特别咸的吃的很撑的时候，就发困，以前没有过，没有当回事，再后来就头晕睡不着觉，去医院一看血压高 ，150多低压快100了有时候低压95


","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":21},{"id":"4054","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":" 高血压的临床表现","content":"

      高血压的症状因人而异。早期可能无症状或症状不明显，常见的是头晕、头痛、颈项板紧、疲劳、心悸等。仅仅会在劳累、精神紧张、情绪波动后发生血压升高，并在休息后恢复正常。随着病程延长，血压明显的持续升高，逐渐会出现各种症状。此时被称为缓进型高血压病。缓进型高血压病常见的临床症状有头痛、头晕、注意力不集中、记忆力减退、肢体麻木、夜尿增多、心悸、胸闷、乏力等。高血压的症状与血压水平有一定关联，多数症状在紧张或劳累后可加重，清晨活动后血压可迅速升高，出现清晨高血压，导致心脑血管事件多发生在清晨。


        当血压突然升高到一定程度时甚至会出现剧烈头痛、呕吐、心悸、眩晕等症状，严重时会发生神志不清、抽搐，这就属于急进型高血压和高血压危重症，多会在短期内发生严重的心、脑、肾等器官的损害和病变，如中风、心梗、肾衰等。症状与血压升高的水平并无一致的关系。


       继发性高血压的临床表现主要是有关原发病的症状和体征，高血压仅是其症状之一。继发性高血压患者的血压升高可具有其自身特点，如主动脉缩窄所致的高血压可仅限于上肢；嗜铬细胞瘤引起的血压增高呈阵发性。


","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":1},{"id":"27372","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"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！


","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":126},{"id":"25978","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"高血压患者压差大的原因是什么","content":"

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

\"高血压患者压差大的原因是什么\" 

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

 

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

\"高血压患者压差大的原因是什么\" 

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?\" 

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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