Treatment of primary hypertension

Primary hypertension treatment methods are as follows: 1, improve life behavior: such as weight loss, reduce sodium intake, supplement calcium and potassium salts, limit alcohol consumption, increase exercise and other good life behavior can help stabilize blood pressure levels, reduce vascular damage, and improve cardiovascular adaptive regulation; 2, antihypertensive drug therapy: currently commonly used antihypertensive drugs can be divided into five categories, including diuretics, beta-blockers, calcium antagonists The drugs include diuretics, beta-blockers, calcium antagonists, ACEI class, ARB class, all of which can protect the cardiovascular and cerebrovascular system and limit the development of kidney and heart diseases by lowering blood pressure. At the same time, since various types of antihypertensive drugs have different indications and contraindications, their antihypertensive efficacy should be brought into play on the basis of ensuring drug safety. It is also necessary to consider the effect of drugs on comorbidities, such as hypertension combined with cerebrovascular disease, coronary heart disease, heart failure, chronic renal failure, etc. Therefore, the target value of blood pressure control should be reasonably determined, and several antihypertensive drugs should be combined according to the characteristics of comorbidities. Because the combination of drugs is easier to achieve blood pressure control than simple antihypertensive treatment, it can also make each drug does not require a large dose, which can reduce adverse reactions and will be better tolerated by patients. Therefore, the choice of antihypertensive drugs for each patient should be determined on a case-by-case basis, i.e., the principle of individualized treatment. Antihypertensive treatment generally requires lifelong adherence, and after treatment, blood pressure returns to normal levels in patients, and if they stop taking the medication on their own, their blood pressure may suddenly rise to higher levels. If the patient’s blood pressure has been controlled for a long time, the number of doses or doses can be gradually reduced.