Anti -suppression medicine, have you taken right?

At present, the blood pressure control target of blood pressure <130/80 mm for most hypertension patients has been recognized by more and more patients with hypertension patients. To be sure, if the blood pressure is higher than 130/80 mm Hg, it will damage the target organs of the human body. Normal high -value blood pressure (systolic blood pressure 130 ~ 139 mm Hg/diastolic pressure 80 ~ 89 mm Hg) crowd) crowd) population) Need to strictly manage your blood pressure.

So, in daily life, how can people with normal high value blood pressure be effectively controlled and controlled blood pressure? You must know the following knowledge.

Who must take antihypertensive drugs

Not all patients with hypertension must immediately take antihypertensive drugs. Hypertension drugs must be treated before treatment and treated according to danger. Hypertension hazardous layers have standardized content and processes, and professional doctors need to be completed. Therefore, the first diagnosis and treatment of hypertension should be conducted in regular hospitals. Patients with high blood pressure risks are high -risk or high -risk patients need to start drug treatment immediately. Patients with low and low -risk in the treatment of non -drug treatment for 1 to 3 months, if the blood pressure does not meet the standard, the drug treatment needs to be started.

The newly published Chinese crowd Chinom research (Chinese population's normal high -value range, blood pressure, non -heart -free cerebrovascular disease, diabetes, kidney disease, clinical trials of antihypertensive treatment and placebo control) Patients with dangerous hypertension do not need drug treatment and should control blood pressure through a healthy lifestyle.

As we all know, non -drug treatment has a clear antihypertensive effect. For example, obese people lose 10 kg of weight, and systolic blood pressure can be reduced by 5 ~ 20 mm Hg; daily salt intake is less than 6 grams, and systolic blood pressure can decrease by 2 ~ 8 mm Hg ; Regular exercise and restrictions on drinking can also reduce blood pressure. For patients with hypertension and all people with normal blood pressure, non -drug treatment measures must be implemented in the consumption of hypertension. Non -drug therapy includes reducing sodium salt intake, reasonable diet, regular exercise, controlling weight, smoking cessation, restricting drinking, psychological balance, etc.

Once you take the medicine, don't do it

1. Discontinue drugs at will: Once you strictly measure blood pressure and are diagnosed with hypertension, blood pressure management needs to be performed for life. If you do not follow the doctor's advice, continue the bad lifestyle, and the blood pressure can easily recover to the level of hypertension. This means that the blood pressure management of patients with hypertension is lifelong.

2. Simple dependence of drugs: hypertension therapy includes non -drug therapy and drug therapy. Patients with low and low -risks first take non -drug treatment for 1 to 3 months, and those with poor blood pressure need drug treatment. Patients with high or high risks need to start non -drug treatment while insisting on drug treatment. It does not change the lifestyle, and it is not advisable to rely on drugs to lower blood pressure.

3. Overnight medication: Most of the Chinese crowds are 杓 blood pressure (referring to the average blood pressure at night to decrease by 10%to 20%compared with the average day of the day), so most patients with hypertension are recommended to take antihypertensive drugs before 7 am in the morning. Do not wait until the morning until the morning If the blood pressure is high, take the medicine. Since treatment, the blood pressure should not be too high. And the vast majority of antihypertensive drugs are feasible. A small number of patients with anti -rigid blood pressure confirmed by dynamic blood pressure monitoring (some special patients, especially the elderly hypertension or night sleep apnea patients, at night's blood pressure level may be higher than the day). Take antihypertensive drugs the previous hour.

4. Excessive exercise: At present, the target value of hypertension and antihypertensive treatment is less than 140/90 mm mercury (it is recommended to be less than 130/80 mm Hg). Patients need to make blood pressure at about 4 weeks. It is not recommended that the blood pressure does not meet the standard for too long. It should be noted that do not be too nervous during antihypertensive treatment. If the mental stress is too large, it may cause poor blood pressure.

What are the problems after taking the medicine?

1. Adjust the drug according to the condition: The blood pressure of patients with hypertension is different throughout the year. Patients need to change with the seasonal changes, and they cannot remain unchanged. In general, the blood pressure in winter and spring is higher, and more drugs are needed to reduce blood pressure; the blood pressure in summer and autumn is lower, and the dose of the drug can be reduced. The principle of drug adjustment is to increase or decrease the drug based on blood pressure monitoring. During the severe temperature changes, blood pressure fluctuations are very harmful to patients with cardiovascular disease and need to pay close attention to blood pressure.

2. Considering joint treatment: The doctrine of multiple pathogenesis of hypertension determines that the treatment of antihypertensive treatment requires joint treatment, especially patients with high or high risk; and different types of drugs are synergistic Targets such as kidney.

3. Understand long -acting and short -acting preparations: There are semi -permanent periods for antihypertensive drugs. In order to avoid blood pressure over the day, long -acting agents should be used to reduce blood pressure (that is, drugs once a day). Relatively speaking, the price of long -term preparations will be more expensive. If you take a short -acting preparation, you should strictly increase the number of daily medication according to blood pressure monitoring and drug half -life.

In short, a healthy lifestyle should be maintained for a long time to avoid the occurrence of hypertension. At the same time, as long as the blood pressure control is good, the life span is not much different from the normal person, so you don't have to worry too much. Each patients with hypertension are different. Under the guidance of a professional doctor, they should monitor blood pressure daily and take the principle of individualization for antihypertensive treatment.

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How to measure the pressure correctly

Wake up within 1 hour in the morning, measure it once before eating and taking the medicine, and after emptying the bladder once, and measure it within 1 hour before bedtime); measure the blood pressure twice each time, and the interval is 1 to 2 minutes, take two blood pressure twice, take two blood pressure twice, take two blood pressure twice.average of.Only after this cycle of blood pressure measurement, the patient's blood pressure for more than 3 days or more, whether the systolic blood pressure is greater than 140 mm Hg, or the diastolic pressure is greater than 90 mm Hg (currently the diagnostic standard for hypertension in my country), it can be diagnosed as hypertension.It is recommended that each patient with hypertension go to a regular hospital for the first diagnosis and examination to rule out the possibility of secondary hypertension.

Source ｜ "Volkswagen Health" magazine

Author ｜ Ouyang Mao, chief physician of Cardiovascular Medicine of the Sixth Hospital of Sun Yat -sen University

Review ｜ National Health Science Popularization Expert Library Expert

Wang Fang, chief physician of Beijing Hospital Cardiology

Planning | Tan Jia Wu Weihong

Edit ｜ Liu Yang

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