蒋立新:高血压药物治疗的4大误区,如何避免?

2018-05-16 蒋立新教授 阜外医院

在第四十个世界高血压日来临之际,国家心血管病中心主任助理、中国医学科学院阜外医院副院长蒋立新教授对高血压病的现状、危害、预防的好处、服药误区做了详细介绍。

在第四十个世界高血压日来临之际,国家心血管病中心主任助理、中国医学科学院阜外医院副院长蒋立新教授对高血压病的现状、危害、预防的好处、服药误区做了详细介绍。

01.高血压的现状

高血压是心血管疾病最重要的危险因素。

世卫组织数据显示,每年全球约有1700万人死于心血管疾病,约占总死亡人数的三分之一,其中80%发生在低中收入国家。而在这些死于心血管疾病的人中,有940万死于高血压并发症,至少有45%的心脏病死亡和51%的脑卒中是由高血压导致。高血压已成为全球疾病负担最重的疾病之一。

高血压同样是我国重要的公共卫生问题,给社会和家庭带来了沉重的疾病负担和经济负担。目前,我国高血压患病人数2.7亿。高血压直接经济负担占我国卫生总费用的6.6%。

自2014年以来,由财政部和国家卫生计生委批准设立的中央财政转移支付地方卫生计生项目“心血管病高危人群早期筛查与综合干预项目”,旨在从社区人群中筛检出心血管病高危人群,提早进行干预管理,以减轻未来心血管病疾病负担。该项目自2014年实施以来,已覆盖全国31个省市自治区,截至2017年6月,累计筛查35岁至75岁城乡社区居民超过170万人,是我国目前高血压筛查最大的研究,其中高血压检出率为37%,在检出的高血压患者中,知晓率、治疗率、控制率分别为36%,23%,6%。也就是有三分之一的患者知道自己血压高,接受药物治疗的患者不足四分之一,只有6%的患者得到了控制。因此,我国高血压管理十分令人堪忧,高血压管理的任务仍然任重而道远。

02.高血压的危害

高血压是最常见的一种慢性疾病,很多人患了高血压只是偶尔感觉头痛、头晕,甚至可能没有任何症状,因此不重视高血压的治疗。

但事实上,高血压最可怕的危害是它所导致的重要脏器的损害——长期高血压可能引发心脏病、脑卒中、肾功能衰竭、眼底病变甚至失明等,严重影响生活质量,甚至威胁生命。有数据显示,发生心梗的患者中69%有高血压;发生卒中的患者中77%有高血压;发生心衰的患者中有74%有高血压,此外还可能引发一些严重的心律失常,如房颤的发生风险增加。

因此,高血压是心脑血管疾病的重要危险因素之一,不对它进行积极防控,后患无穷!希望全社会对高血压的预防和治疗要重视、重视、再重视!

03.高血压预防的好处

高血压危害非常大,但是它可防可控。

首先是“防”,也就是说要早筛查、早诊断。35岁以后应定期检测血压。有的人可能患高血压病的风险更高些,比如肥胖、缺乏体力活动、长期高盐、高脂肪饮食、吸烟饮酒,工作压力大或情绪容易紧张激动、有高血压家族史等,这样的患者更应该注意定期检测血压,35岁以上每年测一次。也就是提高高血压的“知晓率”,才能引起大家足够的重视,早诊断、早治疗,防患于未然。

其次是“控”,即严格控制高血压患者的血压水平。研究显示,降压治疗可降低心力衰竭风险超过50%,脑卒中风险35-40%,降低心肌梗死风险20-25%,因此降压治疗是降低心脑血管疾病危害最有效的手段之一。

当然,降压治疗不仅仅是吃上药就万事大吉了,还要看所服用的药物是否可以有效控制血压,也就是医生们会提到降压要“达标”,通常我们认为高血压患者应将血压控制在:收缩压140 mmHg和舒张压90 mmHg以下,如果患者年纪比较大,比如超过80岁了,那么收缩压可以放宽到150mmHg以下。总之,治疗要达标,保证血压长期平稳,才能更好的改善预后。

04.服药的误区

误区一、是药三分毒,药物“伤肝”“伤肾”,能不吃就不吃,能少吃就少吃。

所有的药品在正式上市之前,必须经过一系列临床试验的验证,在健康人及患者中充分观察其安全性和疗效,是有安全保障的。不要被药物说明书上所列的药物不良反应“吓到”,药品被允许上市,说明不良反应对人体影响小,或发生率极低,是安全的。比如1万个人里任何人出现任何一种不良反应都会记录到说明书中,但发生的概率非常低。

药物要经过肝脏或肾脏代谢出体内,但并非伤肝伤肾不能服用,疾病患者的肝脏或肾脏已有问题,医生会根据药物特点、以及患者肝脏和肾脏情况选择药物。而不能惧怕对肝肾造成损伤而拒绝服药。比如对于某些慢性肾功能不全的患者,服用某些降压药物反而对肾脏功能起到保护作用。

从另一方面说,吃高血压的药物发生不良反应的危害,远小于不吃高血压药引发心梗、脑梗等危害。因此,建议患者遵医嘱规律服用降压药物,发生可能的药物不良反应时,及时告知医生,调整用药,避免自行停药。

误区二、有症状才服药,或吃着药没有症状就不监测血压。

有的患者仅在出现头痛、头晕等症状时才服用降压药,一旦症状消失就停药;还有些人倒是能够坚持长期服药,但吃上一种药后几乎从不监测,认为只要吃上药、头不痛不晕就没事了。这也是不对的。

(1) 高血压被称为“无声杀手”,因为大多数患者没有任何症状,但是血压升高,对于心脑血管的危害却是持续存在的,还是需要积极治疗,不能根据症状有无决定是否服药。高血压的治疗原则之一是长期平稳降压,如果一会儿吃药一会儿不吃,造成血压大幅度波动,对患者极其不利。因此建议首选长效药物,确保一天24小时体内药物有一定的浓度,使血压平稳控制。但长效药物通常价格较贵,如果经济条件不允许,一些很便宜的中长效药物也一样可以发挥作用,比如:尼群地平、阿替洛尔合用,每日早晚各一片,同样可以平稳降压,有效覆盖清晨(6-10点)血压高峰区,降低并发症发生风险。

(2) 只要吃上药,没有症状就不监测,可能血压并未达标。应以降压达标为根本,只有控制在140/90mmHg以下(80岁以上在150/90mmHg以下),才能真正降低并发症的发生风险。因此要定期监测血压,及时调整用药。

误区三:害怕高血压用药一旦用上就得一辈子服药。

高血压用药确实是长期的,除非是有明确原因的高血压(比如肾血管狭窄),原发性高血压不可能治愈,终身服药,将血压控制在理想水平,最大程度降低并发症发生的可能性,就是最好的治疗。这不是“药物依赖”,而是高血压就应该坚持长期治疗。

但并不是一天都不能停,比如夏季天气热,血管舒张,再加上大量出汗、血容量下降,血压水平可能适当降低,降压药物可以根据血压水平减量或停用一段时间,冬天天气寒冷,血管收缩、血压上升时,要及时增加药物。因此应该注意监测血压,定期看医生调整用药。

误区四、血压突然升高,舌下含服心痛定等短效降压药物快速降压。

有的病人在偶尔出现突然的血压升高时,比如收缩压超过200mmHg,会非常紧张,往往希望服用快速降压的药物尽快把血压降下来,比如舌下含服硝苯地平片(心痛定)。而实际上这对病人而言可能是危险的,应该禁忌。原因是舌下含服心痛定时,药物经过舌下静脉直接吸收入血,血药浓度迅速增加,可能导致血压短时间内急剧下降,有些患者就可能出现脑供血不足等症状,比如突然晕倒,是很危险的。

另外,提醒广大患者,出现突然的急剧血压上升,特别是伴有明显症状时,应该尽快就医,因为如果合并不同疾病,降压治疗的策略是不一样的,自行在家用药是不安全的。

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    2018-07-02 jyzxjiangqin

    高血压药物.治疗.

    0

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    2018-06-21 jyzxjiangqin

    高血压药物.治疗.

    0

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    2018-06-09 jyzxjiangqin

    高血压药物.治疗.

    0

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    2018-05-26 jyzxjiangqin

    高血压药物.治疗研究.

    0

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    2018-05-18 jyzxjiangqin

    高血压药物.治疗的误区.

    0

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    2018-05-17 Jackie Li

    学习

    0

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    2018-05-17 smartxiuxiu

    0

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    2018-05-17 chunjianf

    学习了.谢谢分享

    0

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    2018-05-17 txqjm

    谢谢了.学习

    0

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