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April 5, 2008
Most of the slow progress of the disease, to long-term patience and active treatment. First it is necessary to arouse the medical staff and patients both the positive and not simply rely on the drug have an ideal effect. Medical personnel must understand the patient’s thinking, life and work to help patients understand the disease can be prevented and is basically under control, to find the possible cause hypertension, and take measures to prevent, and to restore the normal function of the cerebral cortex. Where diastolic blood pressure over 13.33 kPa should be classified as either silent treatment object to persuade patients receive long-term treatment, and strive to keep blood pressure in the normal or near-normal levels.
A general treatment
Laoyijiege attention, and maintain adequate sleep and means …
Airbag-commonly used in hospitals for blood pressure, blood pressure measurement of the community a lot of equipment, computers generally automatic measurement, the accuracy of the big difference, it was necessary to choose. Airbag-blood pressure-usage as follows:
Gas will be tied up in the upper arm sleeve, its margin to 2-3 from the cubital fossa CM, not too tight or too loose. Stethoscope chest will be on the elbow of the brachial artery pulsatility. Xiurui then inflated to the gas, the question of brachial artery pulsatility disappear, then Hg increased 2.6-4.0 kpa (20-30mmHg).
At this time, the pressure of the gas Xiurui role of soft tissue in the brachial artery, because of the pressure of arterial systolic pressure over, the vessel was crushed, and here there is no blood …
Mild hypertension is systolic 18.8 ~ 21.2 kPa (141 to 159 mm Hg) and (or) DBP 12.1 ~ 13.9 kPa (91 to 104 mm Hg), hypertension, As such the majority of patients in the 3 to 6 months after the non-pharmacological treatment of blood pressure can be reduced to normal or near normal range, so their medication to seriously consider. Since 1989 the World Health Organization since the 1970s, the five major anti-hypertension drug intervention on a systematic analysis and summary of the critical light on the treatment of patients with hypertension to achieve consensus on the following:
(1) in the diastolic blood pressure of 13.3 kPa (100 mm Hg) following a mildly hypertensive patients with non-drug therapy.
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Treatment of elderly patients with congestive heart failure is mainly to prevent the occurrence of cerebral vascular accident. Treatment of hypertension in the elderly main purpose is to reduce peripheral vascular resistance, improve cardiac output, renal function, while avoiding postural hypotension and Drug hypotension, and dangerous, to quality of life, the importance of non-drug treatments. The elderly liver and kidney function relatively low, could easily lead to the accumulation of drug, the blood volume reduction at the same time sympathetic and sensitive to the inhibition. Baroreflex sensitivity often lower-prone hypotension response, the elderly cardiac reserve capacity to reduce heart failure-prone and therefore the use of anti-hypertensive drugs the elderly to small doses, gradually increasing doses, making blood pressure decreased more slowly, steadily . In the process of relief, we should …
Hypertension early, the majority of people, there were symptoms, and some people may be asymptomatic for many years and is often a result of investigations of other diseases or treatment of blood pressure measurement was found hypertension. Hypertension in accordance with the length of time its incidence, severity, the speed of progress, ease-into-and radical-hypertension. Radical rapid onset of high blood pressure, rapid development, high blood pressure, a lot of complications, more complex and poor prognosis, but relatively rare. Clinical see most is the ease-of hypertension.
Ease into hypertension in the early performance of easy fatigue, irritability, tension, focus attention, lightheadedness, heart palpitations, shortness of breath, dizziness and headaches are the most common manifestations, in addition, that the pulse fast, limbs tremble, and other sympathetic exciting performance , or see the …
We usually said that primary hypertension is high blood pressure, hypertension accounted for more than 90 per cent of patients, because of its incidence is not known yet entirely clear, high blood pressure medication, can control and can not be cured. Therefore, even if blood pressure dropped to normal does not mean that the cure hypertension, and the need to uphold the lifelong treatment to control blood pressure, prevent stroke, myocardial infarction, and other serious complications.
Typically, approximately 50 percent of the early patients with hypertension can be completely without any symptoms, but no more than symptoms of patients with hypertension suggested that the slow and sustained high blood pressure, patients with high blood pressure are not sensitive, vulnerable to negligence. Therefore dangerous. So if diagnosed with hypertension, should be treated seriously.
Common treatment of non-drug therapy and drug treatment two. Non-drug therapy including salt restriction, diet, exercise and relaxation therapy. On the medication, some patients believe that drug side-effects, toxicity, we can persist long-term medication, in fact, this perception is wrong.
According to the “Shanghai public health was” purely diastolic blood pressure greater than or equal to 96 mmHg for diastolic hypertension, high blood pressure is the main characteristics of young and middle-aged, its clinical manifestations dizziness, Touchan and sleepiness. These people on the long-acting calcium antagonist alone, β blockers, angiotensin converting enzyme inhibitors or diuretics often do not sensitive, and costly, it is difficult for most people to accept. In a year, we have more than 30 cases of young and middle-aged patients with diastolic hypertension by Zhen Jiangyapian (1, 3 times / day) and long-acting calcium antagonist (1, 1 / day) treatment, (on sleep poor used-zhen Jiangyapian one, the early, middle and sleep before descending-a-way), all patients with diastolic blood pressure below 90 mmHg to have, no significant changes …
Once diagnosed hypertension, the blood pressure should be controlled within normal range. Young, mild patients in the control of blood pressure below 135/85 mmHg, elderly patients in the control of 140/90 mmHg; simple systolic blood pressure should also be increased to 140 mmHg in systolic blood pressure under control.
A number of domestic and foreign large-scale study showed that each reduced by 5 mmHg diastolic blood pressure, patients will significantly reduce the mortality rate 32%, 44% reduction of stroke, diabetes complications (including amputation) by 24 per cent, microvascular complications (including retinal hemorrhage) was reduced by 37 %. Experts found that the most hypotension group of cardiovascular events significantly reduced the incidence of renal dysfunction is the speed of the slowest, thus …
Hypertensive heart damage on the main coronary artery and myocardial hypertrophy change, and the prognosis of hypertension complicated by the severity of a heart attack is closely related to hypertensive heart disease is the main objective of the treatment of myocardial hypertrophy and reverse coronary artery disease. Data show that 75 percent of heart failure is caused by hypertensive heart disease. Therefore, these should be differentiated treatment of patients with hypertension:
(1) For hypertensive heart disease did not occur in patients with viable conventional anti-hypertensive therapy.
(2) of the merger asymptomatic hypertensive patients with left ventricular hypertrophy in hypertension, when their compensation is fairly good hemodynamics mainly in the prevention of the occurrence of congestive heart failure.
(3) abnormal coronary angiography in patients with hypertension, in the anti-hypertensive treatment feasible …
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