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高血压患者血压控制正常后是否可以停用降压药 付蓉 贵阳市第二人民医院 首先,高血压患者几次测量的血压正常不代表血压一直不会高,24小时血压并不是不变的;2.高血压最重要的病理变化,发生在遍布全身的小动脉。简单说,就是小动脉因为各种原因普遍挛缩、管壁增厚、管腔狭窄、失去弹性、阻力变大,正常的压力不能让血液正常通过,必须加大压力,血压就高起来了。这些变化是质变,是不可逆的!如果血压控制不好,这些情况会越来越严重,最终导致全身各大器官的损害;3.高血压很难被治愈,但通过规律合理的口服降压药物,血压是可以得到良好控制的。4血压控制正常,是药物作用达到的一种平衡状态,停药意味着平衡被打破,血压肯定就会再次升高。擅自停药很容易会导致血压剧烈波动,发生脑出血或脑梗塞的危险高达血压控制良好者的6.2倍!所以有高血压一定要坚持服药,长期规范的治疗下,高血压患者可以像普通人一样生活;而脱离了规范治疗的患者,才真是危机四伏。 Can antihypertensive drugs be stopped after blood pressure control of hypertension patients is normal first, Normal blood pressure measured several times in hypertensive patients does not mean that the blood pressure will not be high all the time, 24-hour blood pressure is not constant; 2. The most important pathological changes of hypertension, It occurs in small arteries all over the body. In short, Because of various reasons, arterioles are generally contracted, their walls are thickened, their lumens are narrowed, their elasticity is lost, and their resistance is increased, Normal pressure doesn't allow blood to pass, Pressure must be increased, The blood pressure rises. These changes are qualitative, It's irreversible! If blood pressure is not well controlled, These are going to get worse, Finally, it leads to the damage of various organs; 3. Hypertension is hard to cure, But by taking antihypertensive drugs regularly and reasonably, Blood pressure can be well controlled. 4 normal blood pressure control, It is a kind of equilibrium state of drug action, Stopping drugs means that the balance is broken, The blood pressure will definitely rise again. If you stop taking drugs without permission, your blood pressure will fluctuate dramatically, The risk of cerebral hemorrhage or cerebral infarction is 6.2 times as high as that of well controlled blood pressure! So if you have high blood pressure, you must take medicine, Under long-term standardized treatment, High blood pressure patients can live like ordinary people; And the patients who are separated from the standard treatment, It's really dangerous.