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降血压,预防心脑血管疾病--亲稳舆论引导监测室
2013-05-04
目前,我国高血压患者已经突破2亿,也就是说每10个成人中就有2人患高血压。虽然高血压是心血管死亡的首位危险因素,但是大多数高血压患者对高血压不是很了解。日前,由百时美施贵宝公司举办的“降压让生命更美好——科学降压大家谈”广州媒体会上,广东省人民医院黎励文教授在会上指出,高血压是可防可治的,可怕的是如果不注意,就会导致心、脑、肾、血管等靶器官的损伤和心脑血管事件的增加。
At present,Our country has breakthrough 200 million hypertension patients,That means two out of every 10 adults suffer from high blood pressure.Although high blood pressure is the first risk factor of cardiovascular death,But most of the patients with high blood pressure of hypertension is not very understanding.recently,Held by the bristol-myers squibb company"Buck let life more beautiful, step-down everyone talk about science"Guangzhou media at the meeting,Guangdong province people's hospital professor Li Liwen said at the meeting,Hypertension is preventable and treatable,Terrible is that if do not pay attention to,Can lead to heart/The brain/The kidney/Blood vessels such as the increase of target organ damage and cardiovascular events.
高血压致心脑血管病的增加 High blood pressure cause cardio-cerebrovascular diseases increased
当收缩压≥140mmHg和(或)舒张压≥90mmHg时即为高血压。中山大学附属第一医院心血管医学部主任董吁钢称,50%-75%的脑卒中和40%-50%的心肌梗死发生与血压升高有关。
When the systolic blood pressure or greater and 140 MMHG(or)Diastolic blood pressure or greater for high blood pressure, 90 MMHG.Sun yat-sen university first affiliated hospital of cardiovascular medicine at dong xu, director of the said steel,50% - 75% of stroke and 40% - 75% of myocardial infarction is associated with increased blood pressure.
因此,各大指南都明确指出,降压治疗的主要目标是最大限度降低心血管事件和死亡风险。高血压患者的诊断和治疗不能只根据血压水平,必须对患者进行心血管风险的综合评估并分层,能有利于帮助确立合适的血压控制目标,采用优化的降压治疗方案,并且实施危险因素的综合管理。
so,The thumb SMW explicitly pointed out,Antihypertensive therapy's main goal is to minimize risk of cardiovascular events and death.The diagnosis and treatment of patients with high blood pressure can not only according to the level of blood pressure,Patients must be comprehensive cardiovascular risk assessment and stratification,Should be helped to establish the appropriate blood pressure control targets,Using optimal antihypertensive therapy,And implementation of integrated management of risk factors.
血压控制不好存在用药误区 Bad control of blood pressure medication error exists
我国当前的高血压控制率不足10%。会上专家表示,目前很多高血压患者对治疗的认识存在着误区,不仅影响了血压的有效控制,也不利于对心血管风险的控制。
China's current high blood pressure control rates of less than 10%.Experts have said at the meeting,At present a lot of understanding of treatment of hypertension patients there is a myth,Not only affected the effective control of blood pressure,Is not conducive to control of the cardiovascular risk.
暨南大学附属第一医院大内科主任李自成介绍,有些病人担心长期用药会有副作用而拒绝用药;有些患者测量血压不高就不吃药;有些认为血压一恢复正常马上自行断药。事实上,高血压需要长期规律用药维持,不然就有心脑血管事件发生的风险。在目标血压达到后,可在医生指导下调整剂量,按有效的维持量长期服用,切忌自觉症状良好后便突然停药。
Jinan university first affiliated hospital medical director li is introduced,Some patients worry about long-term medication would reject drugs have side effects;Some patients do not take medicine measuring blood pressure does not work;Some think a blood pressure returned to normal immediately to medicine.In fact,,High blood pressure need regular medication to maintain for a long time,The risk of cerebrovascular events or piety.After the target blood pressure,Under the guidance of adjusting dosage,According to effectively maintain long-term use,Self-conscious symptom of avoid by all means good abruptly after drug withdrawal.
广州军区广州总医院心血管内科副主任向定成教授称,门诊常见有的病人让医生开广告上推荐的“最新、最贵”的药。事实上,降压药和其他所有的药一样,贵的不一定是最好的,只有适合的才是最好的。还有不少病人在用药初期可能会出现一些不良反应如咳嗽或颜面部潮红等,就自作主张随意换药,结果导致血压大幅波动,长期得不到有效控制。其实,从服药到理想平稳控制血压一般要1-2周的时间,在此期间不应随意换药。如出现不良反应,也应该在医生指导下对用药进行调整,千万不可自作主张不断换药。
Guangzhou military region deputy director of guangzhou general hospital of cardiovascular internal medicine to settle into the professor said,Clinic common some patients to doctor recommended on advertising"The latest/The most expensive"The medicine.In fact,,Blood pressure medication and all other drugs,Your is not necessarily the best,Just suitable is the best.There are many patients in the early drug there may be some adverse reactions such as coughing or facial flush, etc,The cool casual dressing,The results lead to sharp fluctuations in blood pressure,For a long time can not get effective control.In fact,From the medication to the ideal smooth blood pressure control is typically 1-2 weeks,During this period should not be arbitrarily change medicine.If appear harmful response,Adjustments should also be under the guidance of the drug,Don't self-assertion dressing change constantly.
南方医院许顶立教授称,大部分高血压都合并其他疾病,这类高血压患者发生心血管事件的风险更高。对于一般高血压患者降压目标是140/90mmHg以下,对于合并糖尿病或肾病等高危病人,血压应在病人能耐受的情况下酌情降至更低水平。余燕红、李丽斯
Nanfang hospital professor xu top legislature said,Most of the high blood pressure with other diseases,The higher risk of cardiovascular events in patients with high blood pressure.For patients with high blood pressure step-down target is 140/90 MMHG below average,For a high-risk patients such as merger diabetes or kidney disease,Blood pressure should be under the condition of the patients tolerated discretionary dropped to a lower level.Yu Yangong/Lillis Crosby
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