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血压高就要吃药吗 年龄超标才是关键

时间:2014-10-28 17:54:52 编辑:5号网 4384

GAOXUEYAERZAIQUANGUODAOZHIDESIWANGLVYUELAIYUEGAO,JIUQIYUANYINHAISHIYINWEIXIANZAIRENMENDESHENGHUOFANGSHITAIGUOJIDUAN,BAOYINBAOSHI、QUEFAYUNDONG、GONGZUOSHENGHUOYALIDA、JINGCHANGZUIJIUDENGQINGKUANGDOUSHIDAOZHIGAOXUEYADEYUANYINZHIYI,NEIHENNANSHIFOUXUEYASHENGGAOLEJIUYIDINGYAOCHIYAONI?

血压高就要吃药吗 年龄超标才是关键

火凤凰棋牌MUQIAN“LIXIANGXUEYA”BEIDINGYIWEI “SHOUSUOYA/SHUZHANGYA” ZAI 120 / 80 HAOMIGONGZHUYIXIA,BIJIUBIAOZHUNYANGE。SHISHISHANG,YIBANRENXUEYAHUISUINIANLINGZENGJIA,DABUFENDELAORENDEXUEYADOUCHAOGUOZHEIGEBIAOZHUN。RANER,XUEYADUISIWANGLVDEYINGXIANGHEQINIANLINGYOUGUAN,NIANZHANGZHEDESIWANGLVJIAOBUSHOUGAOXUEYAYINGXIANG;80 SUIYISHANGDELAOREN,SHIYONGJIANGXUEYAYAOKEYIJIANSHAOXINXUEGUANBING,QUEMEIYOUJIANSHAOQIZONGSIWANGLV;ERQIEZAITAMENSHENSHANGYONGJIANGXUEYAYAO,QILIANGYIQING。YOULINCHUANGYANJIUBAOGAO,ZHIYIYIYAOWUZHILIAOQINGDUGAOXUEYADEXIAOGUO。LIYONGJIANKANGDESHENGHUOFANGSHI,KEYIFANGZHIGAOXUEYA;ZAIYINSHIFANGMIAN,DUOCHISHUGUOHEQUANGULEI,SHAOCHIYANHEJIAGONGSHIPIN,YIWEICHIDUOJIASHAONA,SHIZHONGYAOGUANJIAN。

中国:2013年5月在网路进行的「高血压认知度调查」

YOUYUYINSHIXIGUANGAIBIAN、YUNDONGLIANGBUZU、SHIYANJIU、HESHENGHUOYALIDADENGYUANYIN,DAOZHIXIANDAIRENLIHUANGAOXUEYADERENBUDUANZENGJIAERQIERIQUNIANQINGHUA。GENJUWEISHENGSHUGUOMINJIANKANGJU 2007 NIANDIAOCHA,ZHONGGUOYUEYOU 430 WANRENGAOXUEYA,QIZHONGCHAOGUO 1/3 BUZHIDAOZIJILIHUAN,ERZAIFUYAOZHILIAOGAOXUEYADEBINGHUAN,YEZHIYOU 1/2 KONGZHILIANGHAO。

火凤凰棋牌ZHONGGUODEQIANXIZHIAIJIJINHUIZAI 2013 NIAN 5 YUEJINXINGWANGLU「GAOXUEYARENZHIDUDIAOCHA」,DIAOCHA 1000 DUOREN,JIEGUOFAXIAN:

  • YOUGAODA 81.6% DEMINZHONGMEITIANYUNDONGBUCHAOGUO 30 FENZHONG

  • 火凤凰棋牌YOU 46,4% MINZHONGXIAIYOUZHASHIPIN,YOUJIN 4 CHENGSHOUFANGZHEKOUWEIPIANXIAN

  • 火凤凰棋牌YOUJINSANFENZHIERDEMINZHONGMEIYOUDINGQILIANGXUEYADEXIGUAN,ERJISHICELIANGHOUDEZHIXUEYAZHIPIANGAO,RENGYOU 6 CHENG5DERENBUXIANGJIUYIHUOJINXINGZHUIZONGZHILIAO

  • YOU 7 CHENGYISHANGDERENDUIGAOXUEYARENSHIBUZU,GENGBUQINGCHUGAOXUEYABUDANHUIYINQINAOZHONGFENG、XINJIAOTONG、XINJIGENGSAI、XINZANGSHUAIJIE,YEHUIYINQISHENZANGGONGNENGQUESUN。

火凤凰棋牌QIANXIZHIAIJIANKANGJIJINHUIYUHAOLINJUWENJIAOJIJINHUI,YUQUANTAI 57 5JIA 7-ELEVEN BIANLISHANGDIANSHEZHIQIANXIJIANKANGXIAOZHAN,CONG 6 YUE 1 RIKAISHI,MIANFEITIMINZHONGJIANCEXUEYA,BINGHUYUYOUGAOXUEYAZHENGZHUANGZHIMINZHONG,MEITIANZAO、WANGELIANGYICIXUEYA。BINGQIETIXINGMINZHONG,RICHANGSHENGHUOZHONGJIANSHAOSHIYANSHEQU、YINJIUBUGUOLIANG、KONGZHITIZHONG、BUXIYAN、MEIZHOUZHISHAO 5 CI 30 FENZHONGDEYUNDONG、QIEPEIYANGDINGQILIANGCEXUEYADEXIGUAN。

高、低、正常血压範围的定义:变、变、变

火凤凰棋牌MEIGUOXINZANGXIEHUI (American Heart Association, AHA) MUQIANDINGYIXUEYA 120 / 80 YIXIA,JI (90-119) / (60-79) WEI“LIXIANGXUEYA”,ZHINIANQING、YOUNULIYUNDONG、QIEGUOZHEZUIJIANKANGDESHENGHUOZHENENGDADAODEXUEYAFANWEI,YOUYI 115 / 75 WEI“ZUIJIAXUEYA”。MUQIANSUODINGYIDEGAO、DI、ZHENGCHANGXUEYAFANWEI,RUYIXIABIAOYISUOSHI:

表一、目前成人血压的分类表 (毫米汞柱)

血压健康状态

SHOUSUOYA Systolic

火凤凰棋牌SHUZHANGYA Diastolic

低血压 Hypotension< 90< 60
理想血压 Desired Blood Pressure90–119
高血压前期 Prehypertension120–13980–89
第一期高血压 Stage 1 Hypertension140–15990–99
第二期高血压 Stage 2 Hypertension160–179100–109
高血压危象 Hypertensive Crisis≥ 180≥ 110

火凤凰棋牌YISHANGBIAOYIDE“LIXIANGXUEYA”DEDINGYI,BIQICONGQIANJIUBAN (JIYIXIABIAOER) DEZHENGCHANGXUEYADESHUZHIDI。CONGQIANBEIRENWEIGAOZHENGCHANGHEZHENGCHANGZHE,JIXUEYA (120–139) / ( 80–89) ZHE,XIANZAIBEIGUILEICHENGGAOXUEYAQIANQI。ERDIXUEYADESHANGXIAN,ZAIXINBANYEGENZHEWANGXIAXIU。

血压高就要吃药吗 年龄超标才是关键

表二、旧版:高、低、正常血压表

血压状况收缩压 Systolic(毫米汞柱)舒张压 Diastolic(毫米汞柱)
第四期高血压 (紧急)≥210≥120
第叁期高血压 (严重)180-209110-119
第二期高血压 (中度)160-179100-109
第一期高血压 (温和)140-15990-99
高正常130-13985-89
正常120-12980-84
低正常110-11975-79
稍微过低90-10960-74
明显过低60-8940-59
危险地过低50-5933-39

DABUFENDEREN,XUEYAHUISUINIANLINGZENGJIA

SHISHISHANG,DABUFENDERENBINGMEIYOUGUOZHELIXIANGDEJIANKANGSHENGHUO,YISHENGZHONGXUEYAHUIBUDUANPANSHENG,YIZHIYUBUTONGDENIANLINGCENGDEREN,QIPINGJUNXUEYAHUISUIZHENIANLINGSHANGSHENG,RUYIXIABIAOSANSUOSHI:

表叁、各年龄层平均血压表

年岁收缩压 - 平均及(範围)舒张压 - 平均及(範围)
15 to 19117 (105-130)77 (73-81)
20 to 24120 (108-132)79 (75-83)
25 to 29121 (109-133)80 (76-84)
30 to 34122 (110-134)81 (77-85)
35 to 39123 (111-135)82 (78-86)
40 to 44125 (112-137)83 (79-87)
45 to 49127 (115-139)84 (80-88)
50 to 54129 (116-142)85 (81-89)
55 to 59131 (118-144)86 (82-90)
60 to 64134 (121-147)87 (83-91)

YOUYUYIBANRENXUEYAHUISUIZHENIANLINGSHANGSHENG,ZAI 1970 NIANDAIZHIQIAN,ZHENGCHANGXUEYASHIBEIDINGYIWEINANXINGSHOUSUOYAZAI “100 JIANIANLINGSHU” YIXIA。LIRU,YIGENANXING 30 SUIZHEDEZHENGCHANGSHOUSUOYAYAOBEIDINGYIWEIZAI130YIXIA,ER50SUIZHEDESHOUSUOYAYAOZAI 150 YIXIA。NVXINGZHENGCHANGSHOUSUOYAZEBEIDINGYIWEIBINANXINGDI 10 HAOMIGONGZHUZUOYOU。ZAI1970NIANDAIZHIQIAN,YIJIEJIANGYAOWUZHILIAODEMUBIAO,DINGWEIKONGZHIBINGRENXUEYAZAI 160 / 95 YIXIA,DANSHIXIANZAIYIBEIXIAXIUWEI 140 / 90 YIXIA。ZHEIYANGDEZHUNZEGAIBIAN,SHICHIJIANGXUEYAYAODEBINGRENHEQIYONGYAOLIANG,TURANJIANZENGJIALEXUDUO。

血压高就要吃药吗 年龄超标才是关键

舒张压和收缩压对死亡率的影响

ZHEIPIANLUNWENFABIAOZAI 2011 NIAN 7 YUE 26 RI J Gen Intern Med. QIKAN, ZUOZHESHIMEIGUO University of Minnesota DAXUEDE Brent C. Taylor HETADEYANJIUTUANDUI。YANJIUZHEZAI 1970 NIANDAIDEZAOQIDAO 1992 NIANWEIZHI,JIANGJIN 30 NIANJIANGONGSHOUJILE 13,792 WEIMEIGUORENDEXUEYAHESIWANGZILIAO,FENXIXUEYA、SIWANGLV、HENIANLING,SANZHEZHIJIANDEGUANLIAN。

火凤凰棋牌YANJIUFENXIJIEGUOXIANSHI,XUEYADUISIWANGLVDEYINGXIANGHESHOUSHIZHEDENIANLINGYOUGUAN,JIGAOXUEYAZENGJIASIWANGLVDECHENGDU,SUINIANLINGERJIANRUO;DIXUEYAZENGJIASIWANGLVDECHENGDU,SUINIANLINGERZENGQIANG。RUOYI 100-119 ZHEDANGZUOSHOUSUOYAJIZHUNZU、ERYI 70-79 ZHEDANGZUOJIZHUNDANGZUOSHUZHANGYAJIZHUNZU,ZE:

  1. 火凤凰棋牌ZAI 50 SUIYIXIADERENQUNFAXIAN

  • 火凤凰棋牌SIWANGLVSUIZHESHOUSHIZHEDESHOUSUOYAZHIDEZENGJIAERKUAISUSHANGSHENG。HEJIZHUNZUBIJIAO,SHOUSUOYAZAI 160-179 ZHE,SIWANGLVSHI 2 BEI;SHOUSUOYAZAI 200 YISHANGZHE,SIWANGLVSHI 10 BEI。

  • 火凤凰棋牌SIWANGLVSUIZHESHOUSHIZHEDESHUZHANGYAZHIDEZENGJIAYEKUAISUSHANGSHENG。HEJIZHUNZUBIJIAO,SHUZHANGYAZAI 100-109 ZHE,QISIWANGLVSHI2BEI;SHUZHANGYAZAI 120 YISHANGZHE,SIWANGLVSHI 4 BEI。

  1. 火凤凰棋牌ZAI 50 SUIYISHANGDERENQUNZEFAXIAN

  • SIWANGLVSUIZHESHOUSHIZHEDESHOUSUOYAZHIDEGUOGAOHUOGUODIERSHANGSHENG,DANSHIGAOXUEYAZENGJIASIWANGLVDECHENGDUBINIANQINGRENBUXIANZHE。SHOUSUOYAZAI160-179 ZHE,SIWANGLVSHI 1.3 BEI;SHOUSUOYAZAI 200 YISHANGZHE,SIWANGLVSHI 1.8 BEI。ERSHOUSUOYAGUODIZHE (DIYU 100),QISIWANGLVYESHI 1.8 BEI

  • SIWANGLVYESUIZHESHOUSHIZHEDESHUZHANGYAZHIDEGUOGAOHUOGUODIERSHANGSHENG,DANSHISHANGSHENGFUDUYEBINIANQINGRENBUXIANZHE。SHUZHANGYAZAI 100-109 ZHE,QISIWANGLVSHI 1.2 BEI;SHUZHANGYAZAI 120 YISHANGZHE,SIWANGLVSHI1.7BEI。ERSHUZHANGYAGUODIZHE (DIYU 60),QISIWANGLVSHI 1.8 BEI。

80SUIYISHANGDELAOREN,JIANGXUEYAYAOKEYIJIANSHAOXINXUEGUANBING,QUEMEIYOUJIANSHAOZONGSIWANGLV;YONGYAOQINGFANERHAO

YIPIANFABIAOZAI 2009 NIAN 10 YUE 7 RI Cochrane Database Syst Rev. QIKANDELUNWENSHUO,YANJIUZHESOUJI 15 GEJIANGXUEYAYAOZHILIAOZHONGDUZHIZHONGDUGAOXUEYAZHENG(GONG 24,055 MING,DAYU 60 SUI,PINGJUNCHIXUZHILIAOSHIJIANWEI 4.5 NIAN)DELINCHUANGSHIYANSHUJU,JINXINGLEZONGHEFENXI。TAMENFAXIAN,XIANGDUIYUANWEIJIZU,DUIZHENGTISHOUSHIZHELAISHUO,JIANGXUEYAYAOKEYIJIANGDIZONGSIWANGLV 10%,TONGSHIYEJIANSHAOLEXINXUEGUANBINGDEFABINGLVHESIWANGLV 28%。DANSHI,JIUNIANLINGCENGJINYIBUFENXISHIFAXIAN,LINCHUANGSHANGDEHAOCHUJINXIANYU60ZHI80SUIZHIJIANZHE;ZAICHAOGAOLINGHUANZHE (8 0SUIYISHANG) ,SUIRANXINXUEGUANFABINGLVHESIWANGLVRENGRANJIANSHAO 25%,RANERZONGSIWANGLVFANERSHANGSHENG 1%,ERQIEYINWEIYAOWUFUZUOYONGERTUICHUSHIYANZHEBIANWEIJIZUDUOLE 71%。

LINGYOUYIPIANFABIAOZAI 2010 NIAN 7 YUE 28 RI J Hypertens. QIKANDELUNWEN,ZHUANSOUJIJIANGXUEYAYAOZHILIAO 80 SUIYISHANGLAORENDELINCHUANGSHIYANSHUJU,JINXINGZONGHEFENXI。TAMENFAXIAN,ZONGSIWANGLVFANERBIANWEIJIZUDUO 6%。DANSHI,JIUYONGYAOLIANGJINYIBUFENXISHIFAXIAN,YONGZUISHAODEYAOZUOZUIDIQIANGDUDEZHILIAO,XIAOGUOFANERJIAOHAO,KEYIXIANZHEJIANGDIXINXUEGUANBINGFAZUODEJILV。ZUIHELIDEYONGYAOCELVESHIDANYONGLAOYAO thiazides LEILINIAOJI,HUOZUIDUOZAIJIALINGYIZHONGYAOHEYONG。

血压高就要吃药吗 年龄超标才是关键

以药物治疗轻度高血压

DIERQIHEGENGYANZHONGDEGAOXUEYA (160 / 100 HAOMIGONGZHUYISHANG) DEYAOWUZHILIAOYIBEIXUDUOLINCHUANGZHENGMINGYOUXIAOQIEYOUYI。DANSHI,YOUQINGDUGAOXUEYA(140-159 / 90-99 HAOMIGONGZHU)DANMUQIANWUXINXUEGUANJIBINGZHE,SHIFOUYINGGAIJIESHOUYAOWUZHILIAO?YIPIANFABIAOZAI 2012 NIAN 8 YUE 15 RI Cochrane Database Syst Rev. QIKANDELUNWEN,JIUSHITANTAOZHEIGEWENTI。

YANJIUZHESOUJI 4 GEJIANGXUEYAYAOZHILIAOQINGDUGAOXUEYAZHENG (GONG 8,912 CHENGREN,CHIXUZHILIAOSHIJIANWEI 4 ZHI 5 NIAN)DELINCHUANGSHIYANSHUJU,JINXINGLEZONGHEFENXI。JIEGUOFAXIAN:ANWEIJIXIANGBI,ZONGDEXINXUEGUANBINGFASHENGLVZHISHAOJIANG3% (HANZHONGFENGJIANGDI 49%、GUANZHUANGDONGMAIXINZANGJIBINGZENGJIA 12%),ZONGSIWANGLVZEJIANGDI 15%;YOUYUYAOWUZHILIAODEFUZUOYONGERTUICHUSHIYANZHE,WEIANWEIJIZUDE 4.8 BEI。GENJUCIJIEGUO,YANJIUZHERENWEI,YONGJIANGXUEYAYAOLAIZHILIAOMEIYOUXINXUEGUANBINGDEQINGDUGAOXUEYAZHENGHUANZHE,BINGBUJUYOUSHUOFULI。

LIYONGJIANKANGDESHENGHUOFANGSHI,KEYIFANGZHIGAOXUEYA

GENJUYIGEFENLANDEYANJIU,GUANCHAFENLAN 9,637 WEINANXINGHE 11,430 WEINVXINGDESHENGHUOFANGSHIHEQIRIHOUHUANGAOXUEYADEFENGXIAN,LIANGZHEZHIJIANDEGUANLIANXING。GUANCHAQIPINGJUNDA 16 NIAN。SHOUSHIZHEGANGJIARUSHINIANLINGZAI 25 ZHI 74 SUI,MEIYOUHUANGAOXUEYA。JIANKANGSHENGHUOFANGSHIDEYINSUBEIYANJIUZHEDINGYIWEIBAOKUO:BUXIYAN、JIUJINGLIANGMEIZHOUBUCHAOGUO 50 GONGKE、MEIZHOUZHISHAO 3 CITILIHUODONG、MEITIANSHIYONGSHUCAI 3 FENYISHANG、BAOCHIZHENGCHANGTIZHONG。

GUANCHAJIEGUOFAXIAN:XIYANSHIXINXUEGUANJIBINGDEZHUYAOWEIXIANYINSU,DANSHIHEGAOXUEYADEFAZHANWUGUAN,QITASIXIANGJIANKANGSHENGHUOFANGSHIZEHEXUEYAYOUGUAN。SIXIANGDOUNENGZUODAOZHE,QIRIHOUHUANGAOXUEYADEFENGXIANSHISIXIANGDOUZUOBUDAOZHEDESANFENZHIYI。ZHIYAONENGZUODAOLIANGXIANG,JIUNENGJIANSHAONANXING 50% HENVXING30% YISHANGDEGAOXUEYAFENGXIAN。

YANJIUZHERENWEI,JIANKANGSHENGHUOFANGSHIBUDANSHIYONGYUYUFANG,YEHUISHIYONGLAIZHILIAOGAOXUEYA,YIJINGZAIFUYONGJIANGXUEYAYAOWUZHEYEKEYIZUNXINGZHEIXIESHENGHUOFANGSHI,YIZENGJIALIAOXIAO。

结语:多吃蔬果和全谷类,少吃盐和加工食品;多钾少钠是关键

JIANKANGYINSHISHIFANGZHIGAOXUEYADEZHONGYAOGUANJIAN。DUOCHI “QUANSHICAI”,YOUQISHISHUCAI、SHUIGUO、HEQUANGULEI,KEYISHEQUXIANWEI、WEITAMING、KANGYANGHUAWU;CHI “JIAGONGSHIPIN“,HUIQUEFAZHEIXIEYINGYANGSU。DUIYUFANGZHIGAOXUEYALAISHUO,QUANSHICAIFUHANJIA,ERJIAGONGSHIPINBUDANJIABEICHUQUYOUCHANGBEIJIALENAYAN。DUOCHIJIAHUOSHAOCHINADOUKEYIJIANGXUEYA,QIXIAOGUODENGTONGJIANGXUEYAYAO,QUEWUFUZUOYONG。

YINSHIZHONGSHEQU Omega-3 BUBAOHEZHIFANGSUAN、BUCHONGWEITAMING D (SHAITAIYANG) YEYOUZHUYUYIZHIFAYANFANYINGERDADAOJIANGXUEYA。QITAJIANKANGSHENGHUO,CHULESHANGSHUDEXIANJIULIANG、DUOHUODONG、ZHUYITIZHONGZHIWAI,SHUJIEYALIYESHIKONGZHIXUEYADEZHONGYAOGUANJIAN。

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