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title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <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"> <p style="text-indent: 2em; text-align: left;">新华网北京5月8日电（袁馨晨）感觉头晕才吃药，血压一平稳就不吃；刚吃了两三天药，发现血压没降下来就想换一种……虽然高血压已经是一种常见病，但是人们对于它的预防和治疗还存在诸多认识误区。近日，著名心血管病专家、中国医师协会高血压专业委员会主任委员、中国高血压联盟副主席孙宁玲教授在接受新华会客厅“健康汇”特别访谈时表示，高血压患者要坚持合理用药，间断吃药可能导致血压波动，引起中风、心肌梗死的发生。</p><p style="text-indent: 2em; text-align: left;"><strong>预防中风管好高血压很关键</strong></p><p style="text-indent: 2em; text-align: left;">当前，心脑血管疾病是威胁我国居民生命健康的“头号杀手”，高血压则是心脑血管疾病最重要的危险因素。根据《中国心血管病报告 2015》显示，我国18岁及以上居民中约有四分之一患有高血压，全国约有2.7亿高血压患者。</p><p style="text-indent: 2em; text-align: left;">高血压与脑卒中关系密切?！岸杂诠死此担芾硌棺钪匾木褪窃し乐蟹?。”孙宁玲表示，高血压可导致脑血管的梗塞或者脑血栓、脑血管破裂，促使中风（又叫卒中）形成，进而发生偏瘫、致残，给患者和家属带来巨大痛苦，给社会带来沉重的疾病负担。</p><p style="text-indent: 2em; text-align: left;">如何判断自己是不是得了高血压？孙宁玲介绍，正常血压的标准值是120/80毫米汞柱，从120毫米汞柱到139毫米汞柱之间是正常高值血压，当多次测量的血压超过140/90毫米汞柱时，被称作高血压。“即使不是高血压患者，也可能存在不健康因素，比如血脂增高、肥胖、吸烟等?！彼锬崴担哐故且桓霾欢辖沟募膊?，因此要积极管理不健康因素，防止从理想血压过渡到正常高值血压，再发展成高血压。</p><p style="text-indent: 2em; text-align: left;">不同人群如何做好高血压防治工作？对此，孙宁玲建议，理想血压的人群要知晓自己的血压，18岁以上的居民每年至少要测一次血压；正常高值血压的人群要积极干预危险因素，包括血糖、血脂、吸烟、体重管理等，控制向高血压进展；高血压病人要在医生指导下开展有效的药物治疗，通过全天候地控制血压，把临床疾病管理好；对于一些有了心脑血管疾病的极高危患者，要坚持终身服药，不能认为血压稳定了就停药，以免损害器官，导致中风、心肌梗死的再次发生。</p><p style="text-indent: 2em; text-align: left;"><strong>高血压管理要从“清晨”开始</strong></p><p style="text-indent: 2em; text-align: left;">近日发布的《中国防治慢性病中长期规划（2017—2025年）》提出，到2025年，心脑血管疾病死亡率要下降15%。一旦得了高血压，如何做好疾病管理？在孙宁玲看来，控制清晨血压是做好高血压管理的一个重要抓手。</p><p style="text-indent: 2em; text-align: left;">“高血压患者在24小时内的血压是不断变化的，清晨时段（一般是指早上6点到10点）往往血黏度增高，心跳增快，血压处于上升状态?！彼锬嶂赋?，清晨血压增高更容易引起中风和心血管疾病，而在早晨6点到8点之间，很多患者都在家里，所以要做好家庭血压测量。</p><p style="text-indent: 2em; text-align: left;">如何在家正确测量血压？孙宁玲介绍，高血压患者在起床后的30分钟到1个小时之间，可以去趟洗手间、稍微走动，然后采取坐姿进行血压测量，不该躺着或者半卧测量。用家庭血压测量设备时，一般要测量三次，把测的数值差距较大的一次去掉，把剩下两次相对接近的数值作为准确值?！叭绻饬康募彝パ乖?35/85毫米汞柱以下，说明血压控制得比较好?！彼锬崴担彝パ共饬亢驼锸已共饬恐湟话慊嵊?毫米汞柱的差别，在医院测量的诊室血压如果大于140/90毫米汞柱，就是清晨血压增高。</p><p style="text-indent: 2em; text-align: left;">“尤其要注意特殊人群的清晨血压是不是控制好了，否则高血压可能会加重相关疾病的发生和发展”。孙宁玲指出，老年人动脉弹性差，容易产生血压控制不良、清晨血压增高的现象。同时，糖尿病、肾病、中风患者等也容易出现清晨高血压。</p><p style="text-indent: 2em; text-align: left;"><strong>高危高血压患者要坚持终身服药</strong></p><p style="text-indent: 2em; text-align: left;">很多时候，高血压没有明显的症状，但一旦发病往往非常凶险，严重的甚至会致残、致死。如何对付这个“沉默的杀手”？孙宁玲表示，已确诊的高血压患者一方面要按照医生嘱咐进行生活方式干预，包括控制体重，控制盐类的摄入，保持心理健康，不要过度激动、生气，避免引起血压波动；另一方面，要进行合理的药物治疗?！案哐够颊哂Ω眉岢殖砸涠铣砸┛赡艿贾卵共ǘ?，从而进一步损伤血管和体内其他器官。”她说。</p><p style="text-indent: 2em; text-align: left;">有些高血压患者吃了两三天药后，发现血压没有降下来，就想赶紧换药。对此，孙宁玲指出，高血压患者要坚持长期服药，平稳降压，不应该一味求快?！俺酝暌┭孤砩辖迪吕词遣徽５摹８哐够颊呖梢匀醚乖诙剿闹苣诔中轿?，三个月内把血压调到好的界限就可以了，这是一个正常的过程?？焖俳笛褂惺狈炊菀椎贾乱恍┎涣际录姆⑸??！彼?。</p><p style="text-indent: 2em; text-align: left;">当血压控制得比较平稳后，是不是就能停药了？孙宁玲介绍，一些初发病、年轻的高血压患者在早期通过生活方式干预、服药等方法，把血压控制到一定程度后，可以在医生指导下适当减药、甚至停药，但是高?；颊哂Ω眉岢种丈矸??！耙┪锏淖饔貌唤鍪墙笛?，还可以?；て鞴?。高血压患者如果通过服药实现了血压的平稳，说明对药物比较耐受，药物的效果比较好。只要没有明显的低血压反应，高?；颊呔陀Ω眉岢址?，一旦停药，血压很可能就会上升，导致更严重的问题。”孙宁玲说。</p><p><br style="text-indent: 2em; text-align: left;"/></p> </div> <p class="Editor">编辑：王慧文 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：血压高血压患者中风心梗</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" 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