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Liu Lisheng |
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Two-thirds of hypertensive damage to the heart, brain and kidney patients do not know Reporter: What are fatal complications of hypertension? How to effectively prevent these dangerous situations? Liu Lisheng: All along, hypertension is the medical profession as the "silent killer." This is because high blood pressure is usually no obvious clinical symptoms, especially early often without any feeling, only a few people will be headache, dizziness, chest tightness and other symptoms, and these symptoms are not specific to hypertension. However, prolonged hypertension is silently damaging the heart, brain, kidneys and other vital organs until the stroke, such as cerebral hemorrhage, cerebral thrombosis; myocardial infarction, heart failure; renal failure and other serious complications threatening human life. Prevent these deadly complications, the most important thing is that early detection of risk factors for hypertension, it would be controlled to the normal range, that 140/90mmhg less. But most of the patients was careless, do not take the initiative to control hypertension induced by a variety of risk factors, blood pressure faire "superior."There are many people do not know much of hypertension, especially farmers, 90% of people do not understand high blood pressure, for which the harm is poorly understood. In China, had high blood pressure do not take medicine, do not control their blood pressure quite a bit. Hypertensive patients, medication was 28.2%, while the control rate was 8.1%. Basically two-thirds of patients with hypertension do not take medicine, 90% of patients blood pressure control is not ideal! The two-point control of blood pressure is the most critical weight control, not smoking, keeping in mind the low-salt diet and medication. Reporter: You said that smoking is bad for blood pressure control is important, but some people do not understand, some people argue that smoking around a lot, but still good did not suffer from high blood pressure, this is how it goes? Liu Lisheng: I also know a gentleman, he said, their Director of smoke, but no high blood pressure, he did not believe that smoking prevention and treatment of hypertension effect. But we want to see this is just an isolated phenomenon, can not be an isolated phenomenon of global, smoking causes cardiovascular events this conclusion is in hundreds of thousands of people in a scientific statistics out, we have to believe in science. The more those who are highly educated, health-conscious people, the more health and longevity; while those low levels of education, without attention to health, long-term smoking, excessive drinking and other bad habits of people, life will be shorter. Hypertension prevention is better than cure! Reporter: You are in the field of hypertension research for so many years, will talk about the prevention of hypertension some unique ideas, experience like? Liu Lisheng: The first is to understand their blood pressure, blood pressure control as far as possible within the 140/90mmhg, with target organ damage or diabetes, should be controlled at 130/80 mmhg or less; renal dysfunction, the same should be controlled at 130/80 mmhg or less. Of course, if you are around 120/80mmhg ideal blood pressure so much the better. The second is to do health education, health-conscious lifestyle. Hypertension prevention is better than cure, health education of children from the start, such as education they do not eat high-calorie junk food, avoid excessive obesity. 2007 will be the introduction of the new slogan will be science-based prevention. About healthy lifestyle summed up as "salt and less fat and more exercise, quit alcohol limit reduced pressure, like doctor medication on time." 1, the effective weight control. Weight loss, weight control most critical control high blood pressure! 2, quit smoking. Smoking cessation in the prevention of high blood pressure is also very important to smoke contains nicotine, can stimulate the heart, the heart rate, vasoconstriction, blood pressure. 3, low-salt diet. Hypertensive patients daily intake should be less than 6 grams of salt, about a small spoon daily Banchi, especially for salt-sensitive patients to less. 4, limit alcohol. Heavy drinking, especially alcohol, can increase blood pressure, and some patients even after drinking the blood pressure was not high, but still presents a few days after the blood pressure is higher than usual phenomenon. 5, to ensure a reasonable diet. Patients with hypertension should limit dietary fat intake, low fat meat, animal offal, fried foods, pastries, sweets, eat more fresh vegetables, fruits, fish, low-fat dairy products. 6, regular exercise. Appropriate physical exercise can enhance physical fitness, weight loss and maintain normal body weight in patients with hypertension helpful. Walking, jogging, brisk walking, swimming, cycling, gymnastics, tai chi and other activities can be, each event generally 30-60 minutes is appropriate, the intensity varies. Which I particularly recommend a walk, not only simple, but very effective! 7, pay attention to psychological factors. Hypertensive patients should pay attention to rest, to feel comfortable, to avoid mental too nervous. 8, if by three to six months of non-drug therapy, blood pressure control is good, can be maintained. If invalid, the switch should be added antihypertensive medication, not as young or no obvious symptoms without medication. Reporter: blood pressure indicators, pressure (SBP) and low pressure (DBP), which increased at greater risk for life? Pulse pressure is bigger and more representative of what? Liu Lisheng: With the development of hypertension study found that systolic blood pressure greater risk, its probability of occurrence of myocardial infarction higher! Pulse pressure is greater, on behalf of atherosclerosis is more obvious. Low-dose fixed combination medication into a blood pressure medication trend Reporter: Once the prevalence of hypertension is necessary to long-term medication do? Liu Lisheng: We stand to observe a few times before drawing conclusions. Some people because of some special things, such as to see one important person to attend an important occasion, there are some young kids when mental stress test, these conditions caused by the "high blood pressure" is a falsely high over blood pressure, and other things in the past on the restoration of normal blood pressure, do not someone once or twice the amount of blood had elevated blood pressure phenomenon gave him wear a hat! As long as some mild hypertension through weight control, low-salt diet, exercise and other healthy lifestyle can be spelled down by these methods do not fall down again to take medicine. Reporter: Do you have anything in hypertensive medication guide you? Liu Lisheng: It depends on the specific circumstances of the patient, the majority of high blood pressure as long as an antihypertensive drug light can be controlled; if a drug control is not down, and then consider two or polypharmacy; clinical doctors now prefer low-dose, fixed combination medication side effects because it is relatively small, it will reduce the damage to the human body, which is the future trend of high blood pressure medication now! |
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