Standardize the management of high blood pressure
With the socio-economic changes and changes in people's way of life, our population rate of cardiovascular disease patients continued to rise, the most common high blood pressure. Standardize the management of high blood pressure will help reduce the incidence of cardiovascular and cerebrovascular disease, will help improve people's health. The definition of high blood pressure
Served antihypertensive drugs, the systolic blood pressure ≥ 140mmHG and diastolic blood pressure ≥ 90mmHG.
Diagnostic Criteria
Three days in an measuring blood pressure, systolic blood pressure measured twice if ≥ 140mmHG and diastolic blood pressure ≥ 90mmHG, can be diagnosed with high blood pressure
High blood pressure classification
Category systolic blood pressure (mmHG) diastolic blood pressure (mmHG)
A high blood pressure (mild) 140-159 90-99
2 high blood pressure (moderate) 160-179 100-109
3 high blood pressure (severe) ≥ 180 ≥ 110
Hypertension Management:
Management level: 6-month follow-up, which is a health education and non-drug-based interventions, drug intervention as a supplement;
Management II: 3-month follow-up time, in strengthening health education on the basis of appropriate measures to be taken step-down therapy;
The three-level management: a follow-up on an annual review of a screening test to strengthen the law relief treatment.
Normal: high blood pressure, a proposed annual measurement of blood pressure.
Susceptible to the crowd: there are risk factors such as obesity, high-salt diet, excessive alcohol consumption, long-term stress, such as to prevent the occurrence of high blood pressure.
High blood pressure groups: high blood pressure clear understanding of the dangers persist in adverse changes in the way of life, adhere to the standardization of drug treatment to prevent the occurrence of cardiovascular diseases.
Non-drug therapy
Long-term non-drug therapy. Hypertension is a "lifestyle disease" and the need to improve the lifestyle in order to fully control high blood pressure and related risk factors. To achieve a reasonable diet, limit fat intake, quit smoking, limit alcohol, salt restriction, adequate exercise and maintaining a good mood, to avoid excessive long-term mental tension.
Standardized drug treatment
Based on the patient's specific circumstances, the appropriate use of antihypertensive drugs. Diuretics, β blockers, calcium antagonists, ACEI, ARB and low-dose formulations of compound can be used as initial therapy and maintenance of the drug. Adhere to long-term treatment, the smooth control of blood pressure. Antihypertensive drugs can not be suspended. Blood pressure measurement on a regular basis, to promote self-test of blood pressure.
High blood pressure in patients with reasonable dietary health education
Sodium reduction: the World Health Organization recommended amount of salt per person per day not more than 6 grams. Tongsudijiang is one pound of edible salt 3 months or so. Have to first of all reduce the limit of salt for cooking salt and high salt seasoning, Deprivation of food a variety of pickled vegetables and salted.
Reduce dietary fat, high-quality protein supplement modest: to improve the structure of animal food to reduce the high fat content of pork, increase the protein content of less fat and more poultry and fish. Total fat <30% of total calories, saturated Fat <10% of the total calories of protein about 15% of animal protein, 20% of the total protein. 50-100 grams of meat, 50 grams of fish and shrimp, eggs per week 3-4, 250 grams of milk per day, 20-25 grams of cooking oil a day, eat less sugar and sweets.
Attention to add potassium and calcium: dietary potassium should be added, high-calcium foods, such as Lvye Cai, fresh milk, beans, and other products
Eat more fruits and vegetables: increase intake of fruits and vegetables. 400-500 grams per day of fresh vegetables, fruits, 100 grams.
Limit alcohol consumption: patients with high blood pressure should be to promote abstinence because alcohol can reduce the efficacy of antihypertensive drugs. If the recommendations of men drinking, drinking daily volume of alcohol should be less than 20-30 grams (about 40 degrees amount of white wine 1), women should be less than 10-15 grams (about 40 degrees and a half amount of white wine), pregnant women should not drink .
High blood pressure in patients with physical activity health education
Patients with high blood pressure should maintain an appropriate physical exercise. Including aerobic exercise, stretching and strength exercises to strengthen the three types of specific projects can choose to walk, jog, shadow boxing, swimming, dancing and qigong, and so on. Intensity varies from person to person shall, in accordance with the requirements of the scientific exercise, exercise intensity can be as an indicator of heart rate, heart rate appropriate to exercise maximum heart rate during exercise can be used for the 180 or 170 minus the normal heart rate, maximum heart rate or 60% to 85% as a movement Appropriate heart rate. The frequency of movement in general 3-5 times a week, every 20-60 minutes duration, can also be based on physical movement and choice of the type of campaign, as well as weather conditions and so on. After the campaign, such as self-satisfied, and maintain an ideal body weight, physical activity and exercise shows that the right way.
Patients with high blood pressure in patients with the anti-smoking health education
The nicotine in cigarettes can increase blood pressure, medication to lower blood pressure and increase the compliance of the drug dose, therefore, to have high blood pressure in patients who smoke should quit smoking.
High blood pressure on mental health education
On the mental and psychological imbalance in patients with high blood pressure, to change their mental outlook needed to do long-term and meticulous work, including family members and community physicians need to do patient persuasion, to promote individual choice of sports, painting, and other cultural activities to increase the opportunities for social, In the event Associations talk to the hearts of the confusion has been to persuade the people of the same age and understanding to alleviate the mental stress of their mental balance, improve the ability of stress. |