舒张压高怎样选降压药 周芳 徐州矿务集团总医院 скачать в хорошем качестве

舒张压高怎样选降压药 周芳 徐州矿务集团总医院

舒张压高怎样选降压药 周芳 徐州矿务集团总医院 现在临床上使用的各种类型的降血压药物，对舒张压和收缩压都有降压作用，还没有特定的专门降低舒张压的药物，也没有专门降低收缩压的药物。但在常用的降血压药物中，降低收缩压比降低舒张压要明显得多。舒张压高在临床上仍是一个比较棘手的问题，降压效果均不太好。对于收缩压已基本降到正常水平，而舒张压仍较高的病人，应该针对病情，采取综合措施，把舒张压尽快地降下来。如果病人肥胖，体重超重多，应先采用有效的减肥措施，把体重降下来，这时舒张压也会相对下降。再在低盐饮食、适量运动、戒烟、限酒的基础上，选用降血压药物，特别是使用对α、β受体都有阻断作用的降血压药物，就有可能使舒张压明显地降低一些。如果舒张压高的病人所服用的降血压药物为利尿剂的寿比山和钙拮抗剂的非洛地平时，就应加服α、β受体阻滞剂，如卡维地洛或阿尔马尔。如果病人很肥胖，就应该减轻体重，争取把舒张压控制在90毫米汞柱以下。 How to choose antihypertensive drugs for high diastolic blood pressure All kinds of antihypertensive drugs are now used clinically, It can reduce both diastolic and systolic blood pressure, There are no specific drugs that specifically reduce diastolic blood pressure, There are no drugs specifically designed to reduce systolic blood pressure. But in common antihypertensive drugs, The decrease of systolic blood pressure is much more obvious than that of diastolic blood pressure. High diastolic pressure is still a difficult problem in clinic, The effect of depressurization is not good. As for systolic blood pressure, it has basically dropped to normal level, Patients with high diastolic blood pressure, We should focus on the disease, Take comprehensive measures, Lower the diastolic pressure as soon as possible. If the patient is obese, Overweight, Effective weight-loss measures should be taken first, Lose weight, At this time, the diastolic blood pressure will also drop relatively. On the basis of low salt diet, proper exercise, smoking cessation and alcohol restriction, Choose antihypertensive drugs, In particular, the use of antihypertensive drugs that block both alpha and beta receptors, It is possible to make the diastolic pressure significantly lower. If patients with high diastolic blood pressure take antihypertensive drugs such as shoubishan, a diuretic, and felodipine, a calcium antagonist, We should take α, β receptor blockers, Like carvedillo or almar. If the patient is obese, You should lose weight, Strive to control the diastolic pressure below 90 mmHg.