|
|
<section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械媒体报道先锋</span></p><p><span>分享专业医疗器械知识</span></p></section><section><section><section><span>关注</span></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><p><span><br /></span></p><p><span>来源：</span><span>夜诊、李青科普、哈特瑞姆心脏之声</span></p><p> </p><section data-role="paragraph"><section><section><section><p><img src="image/20201014/73aabb404d48bca95b14a20ec8125f5f_2.jpg" /></p></section><section><section><section><p><br /></p><p><span>经常遇到长期高血压不治疗，最后导致慢性肾功能衰竭、需要长期透析的患者，非常令人惋惜。对于高血压，他们普遍有认识误区：</span></p></section></section></section><section><p><img src="image/20201014/e08a5b860a1fad7d1335d51bad0040e1_3.jpg" /></p></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><section><p><strong><span>误区一</span></strong><br /></p></section><section><section></section></section><section><section><p><span><strong><span><strong><span>没有症状就不需要治疗</span></strong></span></strong></span></p></section></section></section></section></section><p><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></p><section><section><section></section><section><section><section><p><span>很多高血压患者血压高，但没有任何不适症状，因此也不重视。</span></p><p><span>没有症状不等于没有病，反倒是当血压突然升高时，才会出现头痛、头晕、失眠等症状，严重的发生了心梗、脑梗，很可能会错过最佳的治疗时机，耽误治疗。</span></p><p><span>因此，</span><span><strong>越早治疗，获益越大</strong></span><span>，血压越早得到控制，越能保护心血管，预防多器官功能受损。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区二</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong><span><strong><span>血压降</span></strong><strong><span>得</span></strong><strong><span>越快越好</span></strong></span></strong></span></p></section></section></section></section><section><section><section></section><section><section><section><p><span>血压不是降得越快越好，除了主动脉夹层、高血压危象等需要快速降压外，</span><span><strong>通常情况下，按指南给出的“缓慢、平稳”原则进行治疗</strong></span><span>。用药后4～12周达到目标值。过低则容易发生缺血性事件，甚至并发脑梗等严重后果，尤其是老年患者。</span><br /></p><p><strong><span>未经医生许可，擅自更改用药剂量或多药同服，以求快速降压，若血压降低得过快，会导致脑供血不足，出现头晕乏力，甚至诱发脑梗死等严重后果。</span></strong><br /></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区三</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong><span>血压降得越低，危害就越小</span></strong></span></p></section></section></section></section><section data-color="rgb(216, 40, 33)"><section><section></section><section><section><section><p><span><span>血压降低后，心血管病的发病和死亡都会明显降低。普通高血压患者血压要低于140/90mmHg，糖尿病、肾病、脑血管病和冠心病</span><span>患者</span><span>要低于130/80mmHg，但并不是降得越低越好，因为血压过低会导致脑血流灌注不足，增加脑缺血的风险。</span></span></p></section></section></section></section></section><section><br /></section><section><section><section><p><span><strong><span>误区四</span></strong></span></p></section><section><section></section></section><section><section><span><strong>服药时间对血压影响不大</strong></span></section></section></section></section><section><section><section></section><section><section><section><p><span><strong><span>对于高血压患者而言，服药时间也很重要。</span></strong></span></p><p><br /></p><p><span>如果服药时间不正确，容易出现与自身血压波动不相符的情况，不但不能很好地控制血压，还会增加诱发心血管疾病的风险。</span></p><p><br /></p><p><span><span>所以，起床后就服药或在血压高峰出现之前的</span><span>30</span><span>分钟到</span><span>1</span><span>小时服药效果最好，不要等早餐后或运动后再去服药。临床还发现，睡前服降压药易诱发<span>脑血栓</span>、<span>心绞痛</span>、心肌梗死，正确的方法是睡前2小时服药</span><span>。</span></span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区五</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong><span>血压正常了就停药</span></strong></span></p></section></section></section></section><section><section><section><br /></section><section><section><section><p><span>高血压患者通常需要</span><span><strong>终生服降压药</strong></span><span>，停药后，血压会再次升高，血压波动过大，对心、脑、肾的损害更严重。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区六</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong><span><strong><span>经常换药，降压效果才好</span></strong></span></strong></span></p></section></section></section></section><section><section><section><br /></section><section><section><section><p><span>经常有一些不遵照医嘱服药的患者，自作主张对降压药物换来换去，结果导致血压波动，长期控制不理想。</span></p><p><span>其实，任何一种药物，起效都是有一个过程的，降压效果太快的并不一定是好药。有的药物降压作用相对温和，从开始服药到平稳控制血压，一般需要1周左右，建议此期间不要来回换药。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><section><p><strong><span>误区七</span></strong><br /></p></section><section><section></section></section><section><section><p><span><strong><span><strong><span>高血压的症状是头晕、头痛</span></strong></span></strong></span></p></section></section></section></section></section><section><section><section></section><section><section><section><p><span>高血压的症状不是只有头晕、头痛，出现这些症状时也该测测血压：心悸、胸闷、眼胀、视物模糊、脖子僵硬、记忆力下降、乏力。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区八</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong><span><strong><span>降压药一开始不能用太贵的</span></strong></span></strong></span></p></section></section></section></section><section><section><section></section><section><section><section><p><span>一个普遍的错误认知是：<strong>“降压药一开始应该从便宜的吃起，如果一开始就吃高级的后面血压就控制不住了”</strong>。其实</span><span><strong>降压药的好坏，不以价格来区分，适合的就是好的。</strong><strong> </strong></span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区九</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong><span>药物伤肝肾，“食疗”就能降压</span></strong></span></p></section></section></section></section><section data-color="rgb(216, 40, 33)"><section><section></section><section><section><section><p><span>老百姓担心药物副作用，常寄希望于某种“超级食物”降压。其实并不存在某一食物能有效降压，</span><span><strong>高血压者一定要及时、正确用药</strong></span><span>。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区十</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong>功能枕头、手表也能帮助降血压</strong></span></p></section></section></section></section><section><section><section><br /></section><section><section><section><p><span>近些年降压保健品越来越多，比如降压枕、降压手表、降压帽、降压鞋垫等，这些保健品都声称有良好的降压作用，但结果并非如此。</span></p><p><br /></p><p><span>保健品的降压功效根本就没有经过科学的临床认证，使用这类保健品降压，即使保健品没有危害，也会延误高血压的治疗。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><p><br /></p><section><section><section><p><span><strong><span>误区十一</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong><span>血压最好得控制在</span><span>120/80</span></strong></span></p></section></section></section></section><section><section><section><br /></section><section><section><section><p><br /></p><p><span>血压并不是保持在120/80mmHg才最合适。</span></p><p><br /></p><p><span>① ≥60 岁的高血压患者，降压靶目标值是收缩压＜150mmHg 和舒张压＜90mmHg；</span></p><p><br /></p><p><span>② < 60 岁的高血压患者，降压靶目标值是收缩压＜140mmHg 和舒张压＜90mmHg。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区十二</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong><span><strong><span>电子血压血压计测不准</span></strong></span></strong></span></p></section></section></section></section><section><section><section><br /></section><section><section><section><p><span>目前均推荐使用电子血压计监测血压，不准也许是血压计不行或是测量方法不对，可以到器械店进行校准。<br /></span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><section><p><strong><span>误区十三</span></strong><br /></p></section><section><section></section></section><section><section><p><span><strong>体检前不能吃降压药</strong></span></p></section></section></section></section></section><section><section><section></section><section><section><section><p><span>降压药并不影响体检，除非有特殊说明，放心按时按量服用吧。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区十四</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong>高血压复诊前要停药</strong></span></p></section></section></section></section><section><section><section></section><section><section><section><p><span>复诊时医生主要评估的是降压效果，正常服药才有参考，停药会干扰医生的判断。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区十五</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong>高血压能根治</strong></span></p></section></section></section></section><section data-color="rgb(216, 40, 33)"><section><section></section><section><section><section><p><span>原发性高血压是慢性病（继发性高血压即能明确病因的除外），目前还没有哪一种药品、食物、保健品、保健仪器能根治高血压，基于此宣传的产品都是骗人的。</span></p></section></section></section></section></section><section><strong><span><strong><strong><span><strong><strong><span><strong><span><span> </span><span> </span></span></strong></span></strong></strong></span></strong></strong></span></strong></section><section><section><section><p><span><strong><span>误区十六</span></strong></span></p></section><section><section></section></section><section><section><p><span><strong><span>降压药都有副作用</span></strong></span></p></section></section></section></section><section><section><section></section><section><section><section><p><span>任何药都有副作用，包括降压药。但FDA批准的原研药（进口药）相对很安全。如果按说明用药，副作用会很轻微。</span></p><p><br /></p><p><span><strong><span>不要因噎废食，和高血压的危害相比，降压药的副作用微乎其微。</span></strong></span></p><p><br /></p><p><span>一些人担心降压药伤肝肾，实际上，</span><span>沙坦类，普利类，地平类降压药通过降压有保肾的作用，尤其是前两类药物更是慢性肾脏病的首选用药，并有改善性功能的作用。</span></p><p><br /></p><p><br /></p><p><span>总之，</span><span><strong>伤肾的是高血压，而不是降压药。</strong></span></p></section></section></section></section></section><p><span> </span></p></section><section><span>如果身边有</span></section><section><span>对这些说法深信不疑的亲友</span></section><section><span>就赶紧转给他们看看吧！</span></section><p><span> </span></p><p><a data-miniprogram-appid="wxdc7efe409d688f37" data-miniprogram-path="pages/index/index" data-miniprogram-nickname="" href="" data-miniprogram-type="image" data-miniprogram-servicetype="" href=""><p><img src="image/20201014/9b56b340737aeb94a7591bcbc4044481_4.gif" /></p></a></p><p><br /></p><section data-role="outer" label="Powered by gulangu"><section data-role="paragraph" data-color="#757576"><section data-role="paragraph"><section><section><section data-brushtype="text"><strong>相关阅读</strong></section></section></section><section><section></section></section><section data-width="100%"><section><section><section><section data-width="100%"><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><section><p><img src="image/20201014/2aac877ff9233ba5a66e7a5ff3a4febf_5.gif" /></p></section><section data-brushtype="text">戳一下，更有料！</section></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><section data-brushtype="text"><br /></section><p>我的耳朵就是这么坏掉的</p><p><br /></p><p>我的胃就是这么坏掉的。</p><p><br /></p><p>做CT还是磁共振？这里帮您整理好了！<br /><br /></p></section></section></section></section></section></section></section></section></section></section><p><br /></p><p><p><img src="image/20201014/aad9f56b0707b5374bbac6273a663447_6.jpg" /></p></p>
|
|
发表于 2020-10-14 13:18:51