Core tip: elderly patients often say: "I have been following the medical advice, but the blood pressure is not ideal control, what is a good way?" In fact, at the same time adhere to the medication, according to the following different circumstances, can be appropriate to add some pressure control skills.
Elderly patients often say: "I have been following the doctor's advice, but the blood pressure is still not ideal control, is there a good way?" In fact, at the same time adhere to the medication, according to the following different circumstances, can be appropriate to add some pressure control skills.
1. Morning hypertension.-
Blood pressure in the morning refers to the results of home blood pressure measurement within 1 hour after getting up in the morning, before taking medication, before breakfast, or arbitral blood pressure recording the blood pressure 2 hours after getting up or between 6 and 10 am in the morning. Chronologically, early morning is a time of high incidence of sudden death, myocardial infarction, and stroke, and poor blood pressure control can increase the risk of cardiovascular and cerebrovascular diseases. Elderly patients with this kind of problem should pay attention to, get up slowly, get up as soon as possible after oral antihypertensive drugs, do not use force to relieve urine. If your blood pressure is monitored during the night, take a long-acting antihypertensive before bed or oral medication in the morning with a half-life greater than 24 hours with amlodipine.
2. Postural hypotension.
The body emaciated person should drink water to increase blood volume more every day, the old person of lower limb varicose vein can wear stretch socks, to strengthen venous blood reflux. Sleep maintains head a bit tall, turn from recumbent when sitting or standing, the movement should be slow, let the body adapt gradually. Don't stand for too long in a stuffy or anoxic environment. Avoid excessive sweating, diarrhea, colds, and alcohol. If you usually take cousin antihypertensive drugs, do not stand up suddenly after taking the drug, it is best to lie still for a while, if you feel dizzy after standing, you should continue to rest in bed.
3. Postprandial hypotension.
Symptoms include a drop in systolic blood pressure of more than 20 mmHg within 2 hours after eating, accompanied by dizziness, drowsiness, and even falls. Studies have found that with age, the incidence of postprandial hypotension is significantly increased, and the use of diuretics or vasodilators can lead to postprandial hypotension. Therefore, older patients with such problems are best advised to take blood pressure medications orally between meals.
4. Intractable hypertension.
After treatment, the blood pressure of most patients with hypertension can be controlled at a satisfactory level, while 15 to 20 percent of them are difficult to reach the standard, which is called intractable hypertension. In the face of such refractory hypertension, patients should strengthen lifestyle intervention, pay attention to low-salt and low-fat diet, control blood sugar, quit smoking and drinking, avoid anxiety, improve sleep, strengthen exercise, control weight, increase the dose of antihypertensive drugs as prescribed by the doctor or use the fourth type of antihypertensive drugs in combination. When the blood pressure is low after lifestyle improvement, the dosage and types of antihypertensive drugs can be reduced.