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Chinese health 中医保健 >>
Family health medicine 家庭
2013年05月28日
Step-down hour in the morning is worth two in the evening
Qian Jin Lingshan county Wu Li center hospitals in guangxi
China's traditional Chinese medicine to
Hypertension is the most common chronic cardiovascular disease, is induced by stroke, myocardial infarction, heart failure, kidney failure and other diseases of the important reasons. Current treatment of high blood pressure, mainly through taking blood pressure medication and other comprehensive measures to control blood pressure.
By 24 hour ambulatory blood pressure monitoring, researchers found that the normal blood pressure is a change in a day, and the fluctuation of blood pressure with low the rhythmic characteristics of night and day, high. This is the natural rhythm of blood pressure, and normal physiological phenomenon. Because, the circadian rhythm of blood pressure can let the heart, brain, kidney and systemic vascular fully "rest" in the night.
The blood pressure of hypertension patients have volatility, but the blood pressure is in the condition of high level fluctuations, changes in the amplitude of even greater than normal. In the vast majority of the population and about 70% of hypertensive patients with normal blood pressure, blood pressure at night than daytime blood pressure lower 10%.
Specific situation is: lower blood pressure during sleep at night, about 2 ~ 3 o 'clock in the morning to a minimum. (6) a sharp rise in blood pressure after early morning gets up, about 8 ~ 9 at or close to the peak, when blood pressure is higher than the night even more than 40 ~ 50 mm hg, this phenomenon is called on medicine "morning hypertension (blood pressure) morning peak".
Because it is a dangerous moment for hypertensive patients, the patients of sympathetic nerve in the excited state, a racing heartbeat, blood pressure; In addition a night didn't drink water, and patients breathing loss a lot of water, increased blood viscosity. And, if have artery atheromatous plaque in hypertensive patients, the plaque rupture easily, cause myocardial infarction, cerebral infarction, etc.
Studies have found that early morning hypertension patients at risk of stroke is three times as much as at other times; The incidence of myocardial infarction in the 9 o 'clock in the morning three times higher than 9 PM; The occurrence of sudden cardiac death peak in 9 to 12 o 'clock in the morning, too. Therefore, control of blood pressure in a day "morning".
About blood pressure early in the morning the best way to the new China hypertension prevention and treatment guidelines recommend as far as possible use for medicine once a day, with 24-hour continuous long-term antihypertensive effect of drugs, in order to effectively control the morning peak blood pressure, and effective prevention of cardiovascular complications.
Taking a blood pressure medication, but many day need to take 2 ~ 3 hours to work, so choose antihypertensive effect fast and long-acting drugs is the most ideal. Such as long-term antihypertensive drugs telmisartan can smooth step-down 24 hours of the morning hypertension has good control effect. Antihypertensive effects of various antihypertensive drugs on different people, of course, is not one hundred percent effective, must be used under the guidance of doctors.
In addition to emphasize that in order to avoid to the greatest extent as a result of "blood pressure morning peak" heart cerebrovascular accidents, hypertension, coronary heart disease and other disease of heart head blood-vessel crowd gets up early in the morning, the action must not be too hurry, get up simple action can be divided into: woke up in bed for a minute; Sit up on the bed a minute; Legs sagging a minute. Can reduce the happening of the disease such as death, myocardial infarction, cerebral hemorrhage.
The original links: http://www.cntcmvideo.com/zgzyyb/html/2013-05/27/content_73695.htm