秋冬季高血压多发 专家提醒中老年患者鼻出血需警惕

2017-11-06 曹祎铭 新华社

随着天气逐渐转凉变冷,高血压患病率呈上升趋势。专家提醒若中老年患者鼻出血应加强血压监测,避免因干预不及时增加中风几率。

随着天气逐渐转凉变冷,高血压患病率呈上升趋势。专家提醒若中老年患者鼻出血应加强血压监测,避免因干预不及时增加中风几率。

广西医科大学第一附属医院高血压病区主任黄荣杰介绍,我国高血压的发病率越来越高,18岁以上居民高血压患病率为33.5%,25岁至34岁年轻男性的高血压患病率高达20.4%,高血压呈现高发病率和年轻化趋势。

黄荣杰表示,秋冬季是中老年人鼻出血的多发季节,其中高血压引起的鼻出血约占鼻出血患者的40%。治疗高血压性鼻出血,在处理完鼻部出血后,主要是积极控制血压。

如果血压太高,可以先控制血压,然后再进行鼻部止血,这样有助于防止脑出血的发生。

据介绍,高血压性鼻出血可防可控。有高血压病史的中老年人平时应注意控制好血压,不要食用过多温燥滋补品,慎用有升压作用的药物,以防血压升高导致鼻腔血管破裂出血。

黄荣杰介绍,压力大、高盐饮食、缺乏锻炼是诱发高血压的主要原因。此外,超重、肥胖也与高血压密切相关,体重指数每上升一个单位,高血压的相对危险性增加10%。

成年人正常的血压范围是收缩压小于120mmHg,舒张压小于80mmHg。当收缩压在130-139mmHg之间,或舒张压在85-89mmHg之间时为高血压前期。当收缩压大于140mmHg或舒张压大于90mmHg即为高血压。

黄荣杰提醒,高血压的发病原因很复杂,在科学饮食的同时,通过吃药可以把血压降到正常水平或者有所降低接近正常水平。但高血压发病机理是长期存在的,所以患者要终身吃药,患者可以根据天气变化对用药做调整,不能因为没有明显症状而停止治疗,以防延误病情。

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    2018-03-29 szhvet
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    2017-11-09 大爰

    学习了谢谢分享学习!!

    0

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    2017-11-06 中医痴

    不错的.学习了.谢谢分享!

    0

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【1】ACC:全面阐述心血管病预防:零级、一级、二级和三级预防,战线应前移近期JACC杂志全面阐述了心血管病的预防策略和血糖、血脂、血压的控制目标。心血管病预防分为零级预防、一级预防、二级和三级预防零级预防是指没有危险因素的人预防危险因素,如高血压、糖尿病和吸烟等;零级预防最重要,但需要人群干预和社会协作,难度也最大。一级预防是指,有危险因素者,预防纠正心血管危险因素,预防患病;二级预防是指已

APCH2017:中国职业人群高血压现状分析

国际研究经验表明,基于职业场所的高血压筛查和控制具有很好的效果,然而这些研究主要在发达国家进行,缺乏针对我国不同地区、不同类型工作场所和不同职业高血压患者的流行病学研究。

SCI REP:高血压和糖尿病对老年人心血管和全因死亡率的影响!

研究人员发现男性比女性受试者HTN/DM状态与卒中发病率和全因死亡率之间存在更强的关联(相互作用的P <0.05)。相比于HTN+/DM−的受试者,HTN−/DM+受试者的全因死亡率增加62%,然而,对于冠心病、脑卒中发病率和CVD死亡率它们没有很大的差异。