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<script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div style="text-align: left; color: rgb(51, 51, 51); line-height: 32px; white-space: normal; text-indent: 2em;"><p style="text-indent: 2em; text-align: left;">北京大学第一医院心血管内科副主任医师于扬</p></div><div style="text-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">保持血压平稳是一门学问，需要遵循人体血压变化规律才能达到目的。人体一天当中的血压是有波动的，呈现“双峰一谷”的昼夜节律，其中“双峰”指早上6~10点及下午4~8点，血压水平处于一天中的峰值；“一谷”指凌晨2~3点血压水平处于低谷，即血压白天波动在较高水平，夜间较低。研究显示，清晨血压升得较高的患者比升高程度较低者，脑梗等心血管意外死亡率高近1倍。因此，控制好清晨血压是降压工作中的一个重点。</p><p style="text-indent: 2em; text-align: left;">管理清晨血压，首先要区分“清晨血压”和“晨峰血压”两个概念?！扒宄垦埂笔侵冈缟闲押?小时内，服药和进早餐前，家庭自测血压的结果，或动态血压记录起床后2小时或早晨6~10点间的坐位血压。当清晨家庭血压平均值≥135/85毫米汞柱，诊室测量血压平均值≥140/90毫米汞柱时，就是清晨高血压。“晨峰血压”是指健康人或高血压病人，清晨觉醒、恢复直立体位后血压会迅速上升，并在较短时间内（2~4小时）达到较高水平的血压波动现象。国内外多项研究证实，晨峰血压或清晨血压升高均是促发心脑血管事件的重要因素之一。对于清晨血压的管理，除了生活方式改变（如低盐、戒烟、限酒、保证充足睡眠和睡眠质量）外，还建议晨醒后继续卧床或慢侧身起床，起床后不剧烈运动，避免情绪激动等。</p><p style="text-indent: 2em; text-align: left;">药物治疗方面，建议选择长效平稳的降压药，如降低交感神经活性的药物。单纯清晨高血压患者可通过调整服药时间控血压，如睡前给予α受体阻滞剂。但药物选择及最佳服药时间有赖于患者良好的血压监测及医生的专业建议，切不可盲目调整。建议所有高血压病人常规监测清晨血压（6~10点）；易患高血压的人群，可长期家庭监测血压，全面了解24小时血压控制情况，必要时结合24小时动态血压监测及诊室血压测量。</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：控好清晨血压防脑梗</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img src="/images/xg_t1.jpg" /></a></span></h1> <div id="i2i2jyu4k" class="pa_0_5_0_10"> <ul 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