Sleeping high blood pressure is mostly considered to be sleep hypertension, which needs to be treated by changing sleeping position, taking medication such as metoprolol as prescribed by the doctor, and surgery if necessary. 1. General measures: It is usually recommended that some patients change their sleeping position and adopt the side-lying position, which can reduce upper airway obstruction to a certain extent. For obese people, it is necessary to take weight loss, exercise and other behavioral treatments. 2. Pharmacological treatment: patients need to take beta-blockers such as metoprolol and atenolol, or calcium channel antagonists such as amlodipine and nifedipine, and angiotensin-converting enzyme inhibitors such as captopril and enalapril, as prescribed by the doctor. 3. Other treatments: For patients with obstructive sleep apnea syndrome, non-invasive positive pressure ventilation or oral appliances are needed. 4. Surgical treatment: If the above treatment fails to relieve the upper airway obstruction, surgical treatments such as nasal septum third-line reduction and dilatation of nasal cavity can be adopted according to the actual situation. It is recommended that those who fall asleep with high blood pressure go to the hospital, strengthen daily life management, and cooperate with doctors for active treatment.