High blood pressure should be heard of, which is a disease with increased arterial blood pressure as the main symptom. At present, clinical hypertension is mainly divided into two categories:
The first is primary hypertension caused by various factors; the second is secondary hypertension caused by other diseases. Among the nearly 300 million hypertensive patients in China, about 95% belong to the former.
According to the data available in the clinic, as long as the patient has an arterial systolic blood pressure of more than 140mmhg and a diastolic blood pressure of more than 90mmhg, excluding the influence of other factors, he can be diagnosed with primary hypertension.
So far, there is no complete cure for primary hypertension, and patients can only be treated according to doctors' recommendations.
So the question is, what are the treatment principles of hypertension, and what are the precautions for patients?
1. Understand the treatment goals: In clinical view, the main treatment purpose of hypertension is to make the patient's blood pressure reach normal levels.
However, the ultimate goal of blood pressure control treatment is to minimize the incidence and mortality of cardiovascular and cerebrovascular diseases in patients.
Therefore, before blood pressure reduction treatment, the doctor will consider the patient's age, weight, severity of the condition, etc., establish the target value of blood pressure control, and then start to develop a comprehensive treatment plan;
2, can not blindly control blood pressure: many patients with high blood pressure are mistakenly believed that the lower the degree of blood pressure drop, it means that the better the control of the disease.
But in fact, the antihypertensive goals of different groups of people are different, and if the patient's body does not have other complications or diseases, the target will be less than 140/90mmhg;
However, if the patient has diabetes, kidney disease and other problems, it should be further reduced on this basis to reduce the chance of complications;
3. Medication treatment: For patients who are detected for hypertension, medication treatment is an inevitable way.
Clinically, it is often recommended that patients use antihypertensive drugs for initiation and maintenance therapy, and often follow the principles of starting in small doses and limited selection of long-acting preparations.
Nowadays, there are many types of antihypertensive drugs on the market, and the risk factors, target organ damage, clinical symptoms, etc. of patients are within the scope of medication, and doctors will choose single or combined drug control according to these indicators;
4. Medication compliance: Once hypertensive patients start taking antihypertensive drugs, they need to have very stable medication compliance.
That is to say, patients cannot change drugs at will, cannot increase or decrease the dosage of medicine at will, and need to measure blood pressure regularly and regularly to observe the effect after medication.
If the blood pressure control is very unstable, it is also necessary to seek medical attention in time to adjust the medication.
5. Improve life behavior: There are multiple factors in life that will cause abnormal fluctuations in blood pressure, so in addition to actively cooperating with medication treatment, patients also need to adjust from the aspect of life behavior.
For example, patients need to lose and control weight, reduce sodium intake, reduce fat intake, increase exercise, quit smoking and alcohol, and maintain regular sleep.
Finally, I would like to remind everyone that primary hypertension is a lifelong disease in the current view, so its treatment is also a long-term, lifelong process.
We should control it in accordance with the above treatment principles, especially in life, we cannot ignore blood pressure monitoring, it is best to record the data of daily testing so that the effect of blood pressure control can be observed.