Hypertension is a common disease in middle-aged and elderly, for the rational use of antihypertensive agents, medication should pay attention to the following points.
One bogey unauthorized drug misuse. There are many kinds of antihypertensive agents, the role of different mechanisms. Different types of hypertension, its pathogenesis is not entirely consistent. If the choice of antihypertensive drugs is unreasonable, buck should not give full play to the role. Sometimes mistaken antihypertensive agents not working. Therefore, high blood pressure in patients with drug therapy should be under the guidance of doctors, according to differences in severity and body to carry out classification.
Second bogey of the ominous blood pressure, feelings of self-medication alone. Some patients, no less discomfort some clothes, dizziness does not apply to increase the dose. In fact, subjective symptoms and severity is not entirely consistent, low blood pressure and dizziness may occur does not, if the medication is dangerous to continue to increase the volume of use is dangerous. Correct approach is to measure blood pressure regularly and promptly adjust dose to maintain the consolidation.
Three anti-single drug. In addition to high blood pressure light outside, so as not to a single drug. The advantage of combination therapy, resulting in synergies and reduce the dosage of each, offset by adverse drug reactions.
Four anti-buck too fast, too low. Some hypertensive patients with blood pressure drop hope the sooner the better, of understanding is wrong. The best short-term step-down rate should not exceed 20% of the original blood pressure, because blood pressure dropped too quickly or too low, patients may feel dizziness, fatigue, can also be induced by cerebral thrombosis and other serious consequences, a phenomenon particularly in the elderly more see.
Intermittent service五忌antihypertensive agents. Elevated blood pressure in some patients on medication, blood pressure lowering on the drug, this view is wrong. Blood pressure control, it was the result of drugs, but resulted in abnormal blood pressure physical factors still exist, so once diagnosed with high blood pressure, on the need of long-term medication.
Six drug-free asymptomatic. About 50% of the hypertensive patients there is no symptoms until the symptoms have only medication, may have been very dangerous. Recommendations for more than 35-year-old crowd every year to monitor blood pressure. Blood pressure control of hypertension in patients with stable, twice weekly monitoring; blood pressure control has not yet stable, measured every day.
Frequent dressing bogey seven. For hypertensive patients, if blood pressure occasional fluctuations, coupled with the proposed temporary use of some antihypertensive agents, but not recommended repeatedly Dressing, each drug has played the role of a stable blood pressure have to be a certain amount of time. In addition, antihypertensive drugs if there is no obvious side effects of blood pressure control and satisfaction with long-term use, no need to replace, otherwise the body easy to produce drug resistance.
Eight bogey临睡前medication. The use of antihypertensive drugs should be in accordance with dynamic monitoring of blood pressure results of the decision, if it is night-time high blood pressure, should eat at night; if it is high blood pressure during the day, it should be eaten the morning; if it is the early morning high blood pressure should be used long-acting formulations. Must the number of patients with high blood pressure during the day, if not the proper medication at night, but easily lead to low blood pressure, organ insufficiency, and even induced by cerebral thrombosis, angina, myocardial infarction and so on.
Nine bogey to rely solely on the antihypertensive drugs. Cause of high blood pressure more, so the treatment also needs to adopt comprehensive measures, it is impossible to achieve the desired therapeutic effect. Apart from the correct way is to select the appropriate drug, but also pay attention to not do any work, low-salt low-fat diet, take part in cultural and sports activities appropriate to avoid the emotional, and ensure adequate rest, weight control, etc..
Do not buck up to ten free "standard" treatment. The higher blood pressure, cardiovascular and cerebrovascular event rate is also higher. 2004 national census results show that high blood pressure, high blood pressure in patients with blood pressure control rate was only 6.1%. Therefore, to achieve blood pressure target is to improve the prognosis of patients with high blood pressure key. The general requirements of hypertensive patients dropped below 140/90 mm Hg; elderly systolic blood pressure control below 130/80 mm Hg; appear proteinuria, blood pressure low (less than 125/75 mm Hg).
7 February 2009
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