How to treat high blood pressure

  Hypertension is a common and frequent clinical condition that can lead to functional or organic changes in the heart, blood vessels, brain and kidneys. Therefore, the aim of active treatment of hypertension is to minimize cardiovascular and cerebrovascular morbidity and mortality and to avoid the occurrence of other target organ complications.  I. Treatment principles of hypertension The treatment of hypertension should follow the principles of individualized, comprehensive and standardized graded treatment, including: 1. comprehensive treatment: that is, a combination of diet, exercise, drug therapy and other aspects; 2. individualized treatment: according to the patient’s own situation and the presence of other comorbidities, to develop a personalized treatment plan; 3. standardized graded treatment: according to the degree of hypertension graded treatment plan.  Second, hypertension treatment of blood pressure reduction standards Clinical assessment of hypertension patients’ treatment effect is mainly based on blood pressure changes. The goal of blood pressure reduction is to gradually bring the blood pressure up to the standard as the patient can tolerate. For general hypertension and patients over 65 years of age, blood pressure should be lowered to less than 140/90 mmHg; for elderly people over 80 years of age, blood pressure should be lowered to 150/90 mmHg; treatment for hypertensive patients with renal disease, diabetes mellitus or stable coronary artery disease should be more individualized, and blood pressure can generally be lowered to less than 130/80 mmHg. Overall, the criteria for lowering blood pressure in patients with hypertension vary according to the population and the condition, and the principle of slow and steady lowering of blood pressure should be followed when lowering blood pressure, and should not be rushed.  Third, how to treat hypertension In order to achieve the above treatment goals and blood pressure reduction goals, patients should actively cooperate with treatment. Specific treatment methods are as follows: 1, lifestyle intervention: such as less salt, less soy sauce, MSG; control staple foods; control high-calorie and sugary drinks; less salt-containing pickled products; moderate exercise; quit smoking and limit alcohol; maintain psychological balance; 2, drug therapy: if the effect of lifestyle intervention is not good, you can choose diuretics, beta-blockers, calcium channel blockers and other antihypertensive drug therapy under the guidance of a doctor, and it is best to 3.Cause treatment: For secondary hypertension, the main treatment is for the primary disease. However, for those whose primary disease cannot be cured surgically or whose blood pressure is still high after surgery, in addition to other treatment for the cause, appropriate antihypertensive drugs should also be used for antihypertensive treatment.  Fourth, daily blood pressure measurement needs to pay attention to what In addition to actively cooperate with treatment, patients should also master the blood pressure of daily monitoring methods, timely attention to their blood pressure changes. For example, it is recommended to measure blood pressure at the same time every day, morning, noon and night, three times a day; when you wake up in the morning, you can measure it when you are in a stable mood and after a few minutes of urination and defecation; when measuring, you need to keep the room temperature around 20℃, no noise around, quiet and comfortable, and rest for at least 5 minutes before measuring to keep your mood relaxed; when measuring, you need to maintain a sitting and standing position to ensure that your body is upright and your back is straight, and the cuff should be kept at the same level as your heart. The cuff should be kept at the same level as the heart to avoid measurement errors that may adversely affect the assessment of the disease.