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class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" 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"> <div style="text-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">阳春三月，春暖花开，春季本应该是十分舒适的季节。但在广州，春季昼夜温差大，冷暖不定，这种温度的变化容易引起血压波动。广州中医药大学第一附属医院心血管科副教授彭锐对记者表示，目前的天气对高血压患者来说有诸多不利，对很多高血压患者来说，在此季节的养生保健有诸多注意事项。</p><p style="text-indent: 2em; text-align: left;"><strong>血压波动大，心梗中风风险高</strong></p><p style="text-indent: 2em; text-align: left;">彭锐说，在春季就诊的老年高血压患者呈现两大特点：一是血压波动明显，有时候白天血压正常，但是在晚上气温较低时，血压上升明显，有时可有近20mmHg的差异;二是高血压合并心衰、心梗的发生率明显升高。</p><p style="text-indent: 2em; text-align: left;"><strong>缓慢减衣物，?；せ逖羝?/strong></p><p style="text-indent: 2em; text-align: left;">面对昼夜温差大的状况，高血压或者冠心病患者该如何避免血压大幅度波动呢？彭锐认为，首先要固护阳气，虽然一天之内温差很大，但心脑血管疾病的患者，尤其是老年人，特别要注意保暖。一般来说，人体最舒适的体感温度是26℃，此时血压也最稳定，所以应避免着凉受冻，宜适当春捂，缓慢减衣物，防止风邪入侵，保护机体阳气。</p><p style="text-indent: 2em; text-align: left;">另外，在户外活动时，也最好等太阳出来之后，所谓“夜卧晚起，必待日光”。运动出汗之后不可立刻脱下衣帽，运动结束及时加衣，防止腠理疏松，风邪乘虚而入。</p><p style="text-indent: 2em; text-align: left;">晚上应保证睡眠充足，做到“早睡早起慢起床”，醒后“醒神”三分钟以稳定血压，不急于起床，起床后动作易缓慢，避免血压剧烈波动。</p><p style="text-indent: 2em; text-align: left;"><strong>规律服用降压药，切勿自行增减</strong></p><p style="text-indent: 2em; text-align: left;">彭锐说，老年人由于动脉硬化，血管舒缩调节能力下降，24小时内血压变化更加明显，血压波动幅度变大。血压在清晨升高明显，医学上称之为“血压晨峰”。在春季寒冷的早晨，血压上升的情况还会更严重，所以，他建议老年人一定要规律服药，不要自己随意调整药物剂量，必要时，最好能够做一次24小时动态血压监测，明确自己血压的高峰及低谷的时间点，从而及时准确服用降压药来达到降压目的。</p><p style="text-indent: 2em; text-align: left;">另外，通过临床观察，彭锐发现，有相当部分的1-2级高血压患者(血压低于179/109mmHg)如果能够遵从医嘱，进行相应的生活方式改变及中医药治疗可以降压，维持稳定达标。中医中药里像天麻、钩藤、女贞子、牡蛎、煅龙骨等平肝潜阳、疏肝理气的中药材制成汤剂或丸剂服用，坚持3-6个月，可达到理想的降压效果。</p><p style="text-indent: 2em; text-align: left;"><strong>TIPS</strong></p><p style="text-indent: 2em; text-align: left;"><strong>高血压患者不可随意进补</strong></p><p style="text-indent: 2em; text-align: left;">“医生，我应该吃点什么补一补啊”，在门诊不少高血压患者会咨询医生进补的事情。对此，彭锐强调，高血压患者的证型多数是肝肾阴虚、肝阳上亢类型，吃人参、黄芪、党参等补益气血的中药材不但对病情无益，反而是火上浇油，可能诱发血压上升。因此，如果需要药膳食疗的话，最好先咨询专科医生之后，再针对自己的体质做有针对性的调理。</p><p style="text-indent: 2em; text-align: left;">实际上，吃补药不如坚持做运动。彭锐说，每周4次，每天坚持40分钟的有氧运动，可将血压降低10-20mmHg。</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" 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