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a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > h2{}.products_52_wrapper li p{}.mobiles_sidebar{}.foot_contact:before{}.index_sub_title a{}.other_184_right{}.HJZF_contact_inquiry{}.hj_navbar_nav > li > a > h2:before{}.nav_li.on>a h2{}.container-fluid{}.other_184_right{}.other_184_right>.index_sub_title{}#news-44_1891 > section > div > div > div > ul > li > div > div.index_text{}.other_184_right>.con{}.other_184_pagination{}.banner_27_zyzfw{}#aboutus-23_1891 > section > div > div > div > ul > li:nth-child(4){}.main_page{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(2) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(3) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(2):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(4).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(4):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(5).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(5):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(6).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(6):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(7).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(7):hover a{}.HJZF_Z__inner_product_categroy5 ul 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img{}.runlin_banner{}.runlin_banner_left{}.runlin_banner_right{}.runliin_top_email{}.runlin_email.first{}.runlin_des + .more{}.runlin_left li{}.runlin_yiji > span h3{}.submit_runlin_search{}.nav_drop{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > div.runlin_des > b{}.hjzf2_z_products_list_left a.index_btn{}.other_runlin_search{}.runlin_box{}.HJZF_Z__innerContent{}.HJZF_Z__inner_product_categroy5_title{}.HJZF_Z__Breadcrumbs{}body > div:nth-child(5) > div.container > div.HJZF_Z__Breadcrumbs > div > div{}.runlin_banner_right{}.main_newslist3 .newslist_img{}.inner_pro_info{}.inner_pro_info:after{}.runlin_left_inner > div > ul:hover{}.runlin_left_inner{}.runlin_left{}.runlin_left_inner > div > ul:hover span h3{}.index_wrapper{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > a{}#HJZF_Z__innerBanner{}body > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}#HJZF_Z__wrapper > div.HJZF_Z__innerBanner.HJZF_Z__innerBanner2{}.zq_contactus>#HJZF_Z__wrapper>#HJZF_Z__innerBanner{}#payment > div > section.hidden-xs.hidden-sm.hidden-md.col-lg-3.HJZF_Z__inner--left > div > div.HJZF_Z__inner--left__content > div.InsidePages_left_content-main > ul{}body > div:nth-child(5) > div.runlin_banner > div.runlin_box > div > div > div > div > div.runlin_banner_right > h2:nth-child(1){}.aboutus_37_t b{}.index_title{}.aboutus_37_t b{}.hjzf_news_44_wrapper > li:first-child{flex:0 0 100%}.news_44_list_con > div.news_44_list_con_box > div.index_text{}.other_184{}.aboutus_37_right li{}.aboutus_37_t b{}.aboutus_37_right li:before{}.aboutus_37_con> p{}.index_sub_title{}#bottom-35_1891 > section > div > div > div > div.hjzf_bottom_35_wrapper > div.foot_contact.text-center > h2{}.products_52_wrapper_img{}.products_52_wrapper li{}.products_52_wrapper li a{}#products-52_1891 > section > div > div > div > ul > li > a > 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section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(4) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(5) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(7) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(8) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(9) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(6) > a{}body > div:nth-child(10) > div > div > section.hidden-xs.hidden-sm.hidden-md.col-xs-12 > div > ul > li:nth-child(1) > a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(3).on a, .HJZF_Z__inner_product_categroy5 ul li:nth-child(3):hover a{}.HJZF_Z__inner_product_categroy5 ul li:nth-child(2).on a, 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血压刚过120/80mmHg就不算得高血压吗?错,一定要干预!
  2024/06/28| 阅读次数:1316

有网友提问:连续几天测血压,都在128/85mmHg上下,这个比正常血压的高值120/80mmHg要高,但比高血压病的诊断标准140/90mmHg要低。


那么,这个血压水平到底是正常还是不正常呢?


其实,这就属于高血压前期,与高血压只有一步之遥,是非常需要我们重视的。



01
120/80mmHg:高血压的红色警戒线!



《中国高血压防治指南(2023年版)》确定临床上高血压诊断界值仍为诊室非同日3次测量≥140/90mmHg。然而,高血压真正的警戒线应该是120/80mmhg,超过这个数字、未到140/90mmHg,统称为正常高值,也就是“高血压前期”。


当血压在收缩压120~139mmHg和(或)舒张压80~89mmHg的范围内时,人体可能无任何感觉,但随着血压升高,可出现头痛、视觉改变、疲劳、眩晕等非特异性症状及血管内皮功能异常、大动脉弹性受损、动脉粥样硬化、心脏结构和功能的改变、肾动脉硬化及血尿酸和微蛋白尿等一系列靶器官损害的症状。


脑损伤:持续高血压可引起微动脉瘤破裂,使得小血管病变,从而引起脑出血。


心脏损害:高血压可引起左心室肥厚,诱发心力衰竭、心律失常以及猝死。


血管损害:持续性高血压会破坏血管内皮细胞,易生成动脉粥样硬化斑块。


肾损害:肾脏是高血压的主要靶器官,其主要症状是夜尿增多、尿液中有泡沫等。


视觉损害:高血压会损害眼底动脉、视神经以及视网膜,引起视力下降或失明。



02
小剂量合理用药,才能稳控血压



高血压前期在中青年人群中的占比是相对比较高的,主要由于这个群体的人普遍存在服药依从性差、体力活动少,饮食结构不合理,生活压力大等危险因素。


因此,这类人群一旦发现自己处于高血压前期的话,一定要积极的调整自己的生活方式,并在医生的指导下辅助以小剂量药物治疗来控制血压。


临床上常用的降压药物大致可分为5种,分别为沙坦类、普利类、地平类、洛尔类、以及利尿剂。


其中缬沙坦是沙坦类中的常用药,作用机制为可选择性阻断 AT1受体,抑制血管收缩和促进醛固酮分泌作用,降低血压,适用于各种轻至中度高血压,尤其适用于对ACE抑制剂不耐受的高血压患者。


缬沙坦的单药有效剂量为40mg至160mg,可以在医生指导下合理选择用药剂量[1]。如轻中度肝损伤患者使用缬沙坦治疗高血压时,初始剂量为每日40mg。


对大多数患者来说,口服缬沙坦2小时内会产生降压效果,4-6小时达到作用高峰,降压效果维持至服药后24小时以上,治疗2-4周后达至最大降压疗效。


此外,缬沙坦在降压的同时还能保护多个器官,因此被广泛应用在高血压,糖尿病、肾病以及心衰等多种人群的降压治疗中,是在临床使用频率很高的一种药物。




03
夏天更容易控制血压,一定要抓住这次机会!



夏天来临,天气变热时人体出汗增多,身体的水分和钠盐也随着汗液排出,这个过程类似于“利尿剂”的作用。


此外,由于“热胀冷缩”的作用,血管本身会扩张。双管齐下,很多高血压患者的血压在夏天会暂时降低,这是一个稳控血压的好机会。


首先,要加强对血压的监测,建议每天在家自我监测血压,如果不能自测,则应每3~5天去药店或者诊所测量一次血压,最长间隔不要超过1周。这样才能及时发现血压的波动情况,再根据医生的指导,合理调整用药。


其次,在生活方式上也要注意适当补充水分,尤其出汗多的时候,最好少量多次饮用,以免增加心脏负担;饮食上不要贪凉,慎食冰棍、冷饮、冰西瓜,应增加富含钾、钙的新鲜蔬果及豆制品,禽类、鱼类等富含蛋白质,且含脂肪较低的动物性食物。


最后,要注意避免运动过量,要避开气温最高的时间段,不在阳光直射的环境下运动,可以适当打打拳、练气功,或是进行健步走、慢跑等中低强度有氧运动,有利于放松精神,调节神经,扩张血管。





高血压是一种常见慢性病,患者大多需要终身服药,并且坚持定期复查,随时根据天气、病情等因素遵医嘱调整用药,切记不可自行减药或停药,以免引起血压波动,损害靶器官。





参考文献
 [1]李广武,戴海斌,胡颖*. 血管紧张素Ⅱ受体阻滞剂——抗高血压药用药指导系列(二)[J].中国合理用药探索,2023,20(5):15-19.

【声明】文章内容不作为临床诊疗依据,仅供交流、学习。


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