![\"老年人高血压有哪些危害\"](\"http://01luntan.com/ly_img/uimgs/1521450059392.png\" "\\"老年人高血压有哪些危害\\"")
高血压是一种可防可控的疾病，对血压130～139/85～89mmHg正常高值阶段、超重/肥胖、长期高盐饮食、过量饮酒者应进行重点干预，定期健康体检，积极控制危险因素。
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针对高血压患者，应定期随访和测量血压，尤其注意清晨血压的管理，积极治疗高血压（药物治疗与生活方式干预并举），减缓靶器官损害，预防心脑肾并发症的发生，降低致残率及死亡率。
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老年高血压要如何诊断呢？老人的正常血压，舒张压为90～120毫米汞柱，收缩压为120～130毫米汞柱。如果血压长期过高，不及时治疗，会增加心脑血管病的发病危险性。下面给大家介绍一下老年高血压的家庭疗法。
\n老年高血压的家庭疗法
\n1、药物择选
\n首选钙阻滞剂，此剂疗效确切，副作用小；酌选利尿剂，多量服用可导致水电紊乱或生化异常；慎用交感神经阻滞剂，该制剂作用快，副作用大；伴有心动过缓、支气管哮喘者禁用β受体阻滞剂。
\n2、合理用药
\n老年人降压用药应遵循个体化，从小剂量开始，缓慢调整剂量；每日上午八时，下午三时用药为宜；坚持用药，切莫“见好就收”。
\n3、适当降压
\n降压不宜过快、过低，应适可而止。否则可导致心、脑血管病发生。
\n4、合理膳食
\n低盐、低热量饮食；控制蛋白、动物脂肪摄人，保持营养平衡，防止肥胖；限酒，多吃新鲜蔬菜、水果和含钙丰富食物；防止便秘。
\n5、动静结合
\n俗语云：“流水不腐，户枢不蠢”。在保证充分睡眠和休息外，应经常参加身体锻炼，如散步、慢跑、晨操、打太极拳、气功等
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老年高血压的危害是什么？说到老年性高血压的危害首先就要了解老年性高血压的特点是什么，由于老年人自身各项机能的衰退导致老年人的身体免疫力下降，同时由于老年人的血管的柔韧性降低，导致一旦发生高血压给老年朋友造成的危害是非常大的，下面就让我们具体的了解一下相关的内容。
1、心血管疾病发生率高
老年人动脉硬化及其扩张能力降低，往往产生单纯收缩期高血压，而舒张压不变或下降，由此导致脉压增大，这是老年单纯收缩期高血压的一个重要特征。脉压增大意味着大动脉弹性降低，是反映动脉损害程度的重要指标。它比收缩压或舒张压更能预测心血管事件的发生。
2、与加速动脉粥样硬化有关
冠心病、一过性脑缺血、脑梗塞、肾动脉狭窄、周围血管病。老年高血压患者的并发症发生率为40%，明显高于成年人(20.4%)。收缩压升高10～12毫米汞柱或舒张压升高5～6毫米汞柱，脑卒中的危险就增加35%～40%，冠心病增加20%～25%。
3、心衰发生率高
老年高血压患者心衰发生率比正常血压高2倍、冠心病比正常血压高3倍、心血管事件高8倍。
4、致残致死率高
老年高血压患者的致死致残率明显高于成年人。老年患者病死率为13%，而成年6.9%。从死因来看，西方国家是心衰占首位，脑卒中次之。我国则以脑卒中最多，其次是心衰和肾衰。我国每年脑卒中有75%以上患者留有不同程度的残疾，其中大部分是老年人。
可见，老年人高血压的危害是非常大的，另外，要特别注意的是，老年人高血压还会导致与高血压本身有关的并发症，如：心衰、脑出血、高血压脑病、主动脉夹层等。所以，当大家有出现老年人高血压的症状时，积极配合医生进行相关的治疗是最佳的选择，同时，生活中也要注意一些日常的调理。
女,27岁。喜年龄27岁，孕38+6周，因妊娠期高血压进行刨腹产手术，出院诊断为重度血小板减少、重度子痫前期、HELLP综合症，孕前基础血压为90/60，刨腹产前血压最高达到160/100，中间按照医嘱服用络活喜和拉贝洛尔控制血压，并逐渐将药物减量，目前已经停药5天（产后30天），现在血压为高压105至115之间，低压70至80之间，比产前血压高。
\n请给我一些治疗上的建议,是否需要就诊?就诊前做哪些准备？
","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":1},{"id":"4386","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"初期高血压不治疗可以吗","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。
高血压实际上是以血压升高为首要特征的全身代谢性疾病和生活方式相关性疾病，目前我国1/3的成年人血脂偏高，现有高血压患者1.3亿，其中有近一半的人并不知晓自己患有高血压，高血压的治疗率和控制率更低，分别为28.2%和2. 9% 。通过多种方式综合预防和控制，采取健康生活方式，可减少55%的高血压发病率，减少50%血压病的并发症。国内外经验表明，控制高血压最有效的办法是防治，对健康人群施以健康教育和健康促进为主导，提高整个人群的健康水平和生活质量。所有高血压患者必须改良生活方式，包括戒烟、限制食盐、多食绿叶蔬果和脱脂牛奶、减轻体重、减少酒精摄入量、减少饱和脂肪摄入量和脂肪总量、减轻精神压力、保持心理平衡。
\n高血压患者应走出不愿意服药、不规律服药、不难受不吃药的误区，积极进行药物治疗。高血压患者服药\"三不\"特点主要表现为，一是不愿意服药或使用医疗器械产品；二是不规律服药，不遵医嘱，一味地根据广告和别人的用药经验服药；三是不管血压升高程度，自己凭感觉服药，感觉不难受不吃药。他建议高血压患者一定到医院查找病因，检查有无糖尿病、心肾损害或相关疾病，并按规律服药和使用正规医疗器械，平稳降压。特别重要的是，高血压“高危和很高危”患者必须立即开始药物治疗。对高血压患者而言，治疗的主要目标是最大程度地降低心血管事件的危险性。因此，必须最大程度地对高血压本身和相关的、能够改变的心血管病危险因素进行干预治疗。对于所有高血压患者而言，降低血压是“硬道理”。所有高血压患者血压均应降至140/90毫米汞柱以下；对于糖尿病以及“高危和很高危”的其他患者，包括脑卒中后、心肌梗死、心力衰竭、肾功能不全、蛋白尿等患者，血压应降至130/80毫米汞柱以下。降压药是从不离手的，特别是血压不稳定的患者，建议每天测量2～3次血压，并使用它观察自己早中晚的血压变化，避免因血压突然升高而导致心脑血管意外。在生活中可以用来调节血压的措施有许多，比如饮食、情绪等都对高血压的病情具有很大的影响。当然医疗器械对高血压患者的自我保健是尤为重要的，其中磁疗护腕的降压作用是非常明显的，需要高血压患者积极运用。在平时对任何发病阶段的高血压患者都是适用的。它对防治高血压有特别明显的作用，任何高血压患者都可以使用。据北京地区调查，长期使用磁疗护腕的50-89岁老人，其血压平均值为134.1/80.8毫米汞柱，这明显低于同年龄组的普通老人。
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","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":1},{"id":"2025","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"英研究称：帮助别人有利于降低血压","content":"
![\"index.jpg\"](\"http://01luntan.com/ly_img/uimgs/1485227317789.jpg\" "\\"1485227317789.jpg\\"")
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据英国《每日邮报》12月30日报道，近日，英属哥伦比亚大学发布一项研究结果：帮助别人对人体健康有益，能够降低血压。
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在实验过程中，研究小组每个月给128位年龄在65岁到85岁的老人40美元(约合人民币260元)，其中有一半的人可以随意支配这些钱，另一半的人则需用这些钱为别人做些事情。在整个过程中，小组分别在实验前、实验时以及实验后为老人们测量了血压。
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测量结果显示：那些患有高血压的老人若是将钱用于帮助别人，血压便相应有所降低。而且若是帮助越亲近的人，效果则更为显著。更令人感到惊讶的是，这种效果并不亚于药物治疗。
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尽管，慈善与健康的关系有待进一步探究。可以肯定的是，帮助别人对人本身也是有益的。
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老年女高血压 脑梗10余年，血压160/90mmhg， 当时治疗后10余年间未服用药物 近期心绞痛发作 心电图心率64次/分，血压180/90mmhg，口服脑心通2粒美托洛尔12.5mg硝苯地平半片，一日2次，心绞痛未再复发，血压降至130/70mmhg，心率52次/分，精神不如以前。是血压降得太低还是心率降得太慢，还是两者均有
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