How to use primary hypertension?One explanation

There is a patient with hypertension every 3-4 people in my country, and the trend of younger disease is becoming more and more obvious. Patients around 30 years old are common. What are the reasons that cause hypertension? Xiaonan will analyze it in detail today.

Hypertension is divided into primary and secondary. Primary hypertension is a cardiovascular syndrome with increased blood pressure as the main clinical manifestation, accounting for 90%-95%. The result of multiple factors.

Secondary hypertension refers to increased blood pressure caused by a clear disease, such as renal diseases (nephritis, nephritis stenosis, etc.), endocrine diseases (pheochromyocytoma, primary aldosterone hyperemia, hyperthyroidism, etc.), hyperthyroidism, etc.), hyperthyroidism, etc.), hyperthyroidism, etc.), hyperthyroidism, etc.) Aortic narrowing and educational arteritis account for 5%-10%of all hypertension. For secondary hypertension, hypertension can be cured or improved after active drugs or surgical treatment.

How to treat primary hypertension?

1. Sports rehabilitation therapy

Sports rehabilitation therapy is very effective for patients with hypertension, including aerobic exercise and resistance.

Aerobic exercise includes slow walking, pedaling, walking, swimming, Tai Chi, square dance, etc., usually about 30 minutes a day, 3-5 times a week, 10min warm-up exercise before exercise to achieve the effect. Generally, medium -intensity exercise, sweating slightly during exercise, accelerated breathing, and accelerated heart rate. After 10 minutes, it returned to normal.

The resistance movement includes stretching zone, dumbbells, sandbags, etc., which require 2-3 times a week. Regardless of the aerobic or anti -resistance exercise, the doctor needs to be carried out before the patient's exercise is performed to achieve effective treatment and prevention.

2. Non -drug treatment

Non -drug therapy is suitable for all patients with hypertension.

(1) Reduce weight and try to control the BMI within 24;

(2) Limit the intake of sodium salt, below 5g/d, and pay attention to increasing potassium salt intake;

(3) Restricting the intake of the total amount of saturated fatty acids and fats in the diet;

(4) Reduce mental stress and maintain emotional stability;

(5) Quit smoking and restriction.

3. Anti -suppression drug treatment

There are five main categories of drugs for the treatment of hypertension, including kidney-vascular tension, systemic inhibitory, diuretic drugs, sympathetic nerve inhibitory drugs, and calcium antagonists. According to your own situation, you need to choose the appropriate medicine for treatment according to your own situation.

The recommended hypertension treatment of WHO is shown in the table. For patients with hypertension, it is recommended that after excluding taboos, the drug type selected priority is determined according to the indication certificate, and the combined treatment plan is given priority, and the compound preparations are preferred.

Table: 2021WHO Adult Hypertension Drug Therapy Guide Recommendation

Note: When the baseline blood pressure is higher than the target blood pressure 20mmHg/10mmHg or above, the efficacy of combined with drug treatment is more significant; single -table compound preparation can improve the compliance of medication and improve blood pressure control level.

Considering the use of specific drugs include::

5 For patients aged 65, diuretics or CCB are recommended;

性 For patients with ischemic heart disease, it is recommended to use β -blockers;

蛋 For patients with severe proteinuria, diabetes, heart failure, or kidney disease, it is recommended to use ACEI/ARB.

If you use a single drug for treatment, the blood pressure still cannot meet the standards. You can scientifically arrange combined medications. For example, the use of Fuxin® osalite hydrochloride tablets, osalite and hydrochlorozine coordinate the pressure. At the same time Resistance, reduce the side effects of drug toxicity.