According to a brief introduction of personal problems in the diagnosis and treatment of hypertension in clinical practice; many patients have many misconceptions about the diagnosis and understanding of hypertension, making doctors feel unable to face such patients, which leads to a significant decrease in patient compliance in hypertension, resulting in a significant decrease in the diagnosis rate, treatment rate and compliance rate of hypertension, which is not conducive to long-term cooperation between doctors and patients and long-term prognosis control. The most common cause of hypertension is primary hypertension, there is no way to find the real cause, it can only be related to genetics, environment, high blood lipids, high salt diet, homocysteine and other factors, but not absolute consistency, only a small percentage of patients have secondary hypertension, directly related to renal insufficiency, endocrine disease, intracranial disease, etc. So don’t ask your doctor what is the cause of my primary hypertension? Some patients ask roguishly, “Why do I have hypertension now when my parents don’t have hypertension and I usually eat a vegetarian diet and take exercise? In fact, everyone is at risk of developing hypertension, especially the trend of youth is obvious, now children in primary and secondary school physical examination can find a large group of young teenage patients, for them, it is even more incomprehensible, but this change and diet and environment are closely related! The diagnosis of hypertension can be made if the blood pressure is greater than 140/90mmHg when measured twice by yourself, and if it is primary it is diagnosed as hypertensive disease, and also according to the level of hypertension is divided into (1.2.3 and low risk. Medium-threatening high-risk), but Chinese patients for their own blood pressure level and high-risk degree to two extremes, the first is to know no fear, anyway, they do not have any symptoms, the doctor said they need to take oral antihypertensive drugs, but their own incompetence how to stubbornly adhere to the views of others or folk, can not take drugs to control hypertension drugs, once oral, you need to take oral for life, or oral some Chinese herbal medicine and other simply can not Blood pressure control methods to delay the control of the disease, until after the emergence of brain hemorrhage or heart failure and other complications, then willing to listen to physicians, such an end increases the infinite suffering of patients, for physicians, but also unwilling to see the results. The second is too impatient and anxious, once hypertension is found, every day worry about whether they will occur brain infarction or brain hemorrhage, myocardial infarction and other complications, which leads to insomnia and anxiety, on the one hand, leading to a decline in quality of life, on the other hand, is not conducive to blood pressure control. Therefore, for patients, physicians on the one hand, multi-directional education, their own suffering from hypertension, the correct understanding and under the guidance of physicians, reasonable guidance is very important, most patients oral hypotensive drugs can not be long-term adherence, mainly after the blood pressure control in the normal range, they feel no symptoms, stop to see, a week to monitor blood pressure did not rise significantly, the long-term discontinuation of drugs, which leads to After the emergence of complications, there is no way to save. There are many types of antihypertensive drugs, and different doctors will choose different types of antihypertensive drugs according to different times and degrees of blood pressure. If you take which antihypertensive drug orally, when the detection of blood pressure is maintained in the normal range, do not easily change the type of drug, which is not conducive to long-term control of blood pressure. Some patients believe that after a year of oral administration of an antihypertensive drug, they should change the drug to avoid the generation of drug resistance, they have to go to the hospital to find a doctor to replace the antihypertensive drug, which will lead to blood pressure fluctuations, which is not conducive to the prevention of cardiovascular events. In addition, the previous very early compound antihypertensive tablets and blood pressure drugs such as Lipiodol, antihypertensive effect can be, but long-term oral use will lead to many complications, it is recommended not to take excessive oral. In the process of blood pressure control treatment, patients may produce short bouts of elevated blood pressure under circumstances such as overexertion and emotional excitement. Don’t be too nervous when you encounter this situation, just increase the drug dose for a short period of time or go to the hospital for another diagnosis. Some patients in the process of oral treatment with a variety of antihypertensive drugs, can not control blood pressure to the normal range, but in fact, many patients can not be physical exercise, weight loss, diet control and low salt diet and other factors required to do, while the need for patients to sleep and leisure mentality and other factors may be beneficial weapons to lower blood pressure. Patients who suffer from hypertension should be popularized from some general knowledge in medicine, especially some common types of hypertension drugs, and their side effects of drugs, etc. Also try to take some long-acting antihypertensive drugs orally, i.e., 24-hour smooth antihypertensive, which is conducive to patient compliance and cooperation between doctors, and ultimately benefit the patient’s blood pressure control and reduce the generation of complications.