您真的会测血压吗？测血压的这些错误您是否也在犯？
<section><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"> 最近门诊来了一40岁的中年女性，因为头昏就诊，仔细追问，原来2周前因连续遭受家庭重大变故后失眠劳累，随后在附近药店测一次血压发现达到了160/96mmHg，赶紧就买了降压药开始服用，一周后这位女士开始出现头昏，上蹲厕所后甚至出现站立不稳、眼前黑的情况，担心自己血压高导致中风遂来就诊。</span></p></section><p><section data-style-id="32283" style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;box-sizing: border-box;"><section style="display: flex;justify-content: space-between;align-items: flex-start;box-sizing: border-box;"><section style="padding-right: 3px;padding-bottom: 3px;border-right: 1px solid rgb(255, 76, 65);border-bottom: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section><section data-width="97%" style="width: 97%;height: 1px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section><section style="padding-bottom: 3px;padding-left: 3px;border-left: 1px solid rgb(255, 76, 65);border-bottom: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section></section><section style="border-left: 1px solid rgb(255, 76, 65);border-right: 1px solid rgb(255, 76, 65);box-sizing: border-box;"><section style="margin: -7px 5px;box-sizing: border-box;"><p style="transform: rotateZ(0deg);"></p></section></section><section style="display: flex;justify-content: space-between;align-items: flex-end;box-sizing: border-box;"><section style="padding-top: 3px;padding-right: 3px;border-right: 1px solid rgb(255, 76, 65);border-top: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section><section data-width="97%" style="width: 97%;height: 1px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section><section style="padding-top: 3px;padding-left: 3px;border-left: 1px solid rgb(255, 76, 65);border-top: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section></section></section></section><section><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"> 我接诊后通过详细问诊了解到，患者2个月前体检时血压是正常的，仅测量一次血压160/96mmHg后就开始服药，后未再测血压。接诊时测血压96/60mmHg，心率98次/分，考虑血压过低、体位性低血压可能，完善了一些检查后，动态血压监测结果也支持了我的推断，患者动态血压：平均血压90/58mmHg，白天平均血压94/60mmHg，夜间平均血压86/52mmHg。<br/></span></p></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"> 于是我马上建议患者停用降压药物，回家监测血压，交代改变体位的注意事项，患者头昏症状慢慢改善。 </span></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"> 其实像上述患者一样，仅测量一次血压高后就盲目地开始了口服降压药物；出现头昏等症状也一味的认为是高血压中风，这样的患者有很多，那么，一次血压高就是高血压病吗？血压高和有高血压病史一回事吗？</span></p><p><section style="margin-right: 8px;margin-left: 8px;letter-spacing: 0.544px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box;"><section data-support="96编辑器" data-style-id="32246" style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;box-sizing: border-box;"><section style="padding: 5px 10px;border-left: 7px solid rgb(255, 76, 65);background-color: rgb(254, 245, 244);box-sizing: border-box;"><section style="color: rgb(99, 99, 99);letter-spacing: 2px;font-size: 20px;box-sizing: border-box;"><p><span style="font-size: 16px;color: rgb(255, 76, 65);"><strong>什么是高血压？</strong></span></p></section></section></section></section><section><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;letter-spacing: 1px;"> 我国指南对高血压的定义是：在未使用降压药物的情况下，非同日3次测量诊室血压，SBP≥140mmHg和(或)DBP≥90mmHg。所以，单次测量血压高不代表就是高血压。</span></p></section></section><section data-support="96编辑器" data-style-id="32283" style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;box-sizing: border-box;"><section style="display: flex;justify-content: space-between;align-items: flex-start;box-sizing: border-box;"><section style="padding-right: 3px;padding-bottom: 3px;border-right: 1px solid rgb(255, 76, 65);border-bottom: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section><section data-width="97%" style="width: 97%;height: 1px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section><section style="padding-bottom: 3px;padding-left: 3px;border-left: 1px solid rgb(255, 76, 65);border-bottom: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section></section><section style="border-left: 1px solid rgb(255, 76, 65);border-right: 1px solid rgb(255, 76, 65);box-sizing: border-box;"><section style="margin: -7px 5px;box-sizing: border-box;"><p style="transform: rotateZ(0deg);"></p></section></section><section style="display: flex;justify-content: space-between;align-items: flex-end;box-sizing: border-box;"><section style="padding-top: 3px;padding-right: 3px;border-right: 1px solid rgb(255, 76, 65);border-top: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section><section data-width="97%" style="width: 97%;height: 1px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section><section style="padding-top: 3px;padding-left: 3px;border-left: 1px solid rgb(255, 76, 65);border-top: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section></section></section></section><section style="margin-right: 8px;margin-left: 8px;letter-spacing: 0.544px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box;"><section data-support="96编辑器" data-style-id="32246" style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;box-sizing: border-box;"><section style="padding: 5px 10px;border-left: 7px solid rgb(255, 76, 65);background-color: rgb(254, 245, 244);box-sizing: border-box;"><section style="color: rgb(99, 99, 99);letter-spacing: 2px;font-size: 20px;box-sizing: border-box;"><p><span style="font-size: 16px;color: rgb(255, 76, 65);"><strong>测量血压有哪些建议？</strong></span></p><p><span style="font-size: 16px;color: rgb(255, 76, 65);"><strong>什么才是正确测量血压呢？</strong></span></p></section></section></section></section></section><section><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="color: rgb(255, 76, 65);">（1）</span>血压仪：要求使用经过认证的上臂式袖带电子血压计，尽量不选用腕式血压计、手指血压计及未校准的血压仪，避免因血压仪准确度差延误诊治，每个电子血压计每1-2年需要到购买处或厂家进行校准，自己是无法进行校准的；根据上臂臂围选择合适大小的袖带，手动设备要求袖带的充气气囊必须覆盖上臂周围的75-100%，电动设备根据说明使用袖带；</span></p></section></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="color: rgb(255, 76, 65);">（2）</span>测量血压需要环境安静，温度适宜，测量前30分钟避免吸烟、喝咖啡、剧烈运动等，建议排空膀胱静坐5分钟左右再测，测量过程中避免交谈；</span></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="color: rgb(255, 76, 65);">（3）</span>测量血压时坐姿正确，避免翘腿、腿交叉蜷缩等，双脚平放地面，背靠椅背，手臂置于桌上，上臂中点与心脏水平；</span></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="color: rgb(255, 76, 65);">（4）</span>每次测量连续测量三次，每次间隔1分钟，计算最后2次的测量平均值为当次血压值；测量血压高于正常，建议隔1周以上再测量2次，连续测量3次，若3次都达到高血压的诊断标准时才可以确诊为高血压病。</span></p><p><section data-style-id="32283" style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;box-sizing: border-box;"><section style="display: flex;justify-content: space-between;align-items: flex-start;box-sizing: border-box;"><section style="padding-right: 3px;padding-bottom: 3px;border-right: 1px solid rgb(255, 76, 65);border-bottom: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section><section data-width="97%" style="width: 97%;height: 1px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section><section style="padding-bottom: 3px;padding-left: 3px;border-left: 1px solid rgb(255, 76, 65);border-bottom: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section></section><section style="border-left: 1px solid rgb(255, 76, 65);border-right: 1px solid rgb(255, 76, 65);box-sizing: border-box;"><section style="margin: -7px 5px;box-sizing: border-box;"><p style="transform: rotateZ(0deg);"></p></section></section><section style="display: flex;justify-content: space-between;align-items: flex-end;box-sizing: border-box;"><section style="padding-top: 3px;padding-right: 3px;border-right: 1px solid rgb(255, 76, 65);border-top: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section><section data-width="97%" style="width: 97%;height: 1px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section><section style="padding-top: 3px;padding-left: 3px;border-left: 1px solid rgb(255, 76, 65);border-top: 1px solid rgb(255, 76, 65);display: inline-block;background-color: rgb(254, 254, 254);box-sizing: border-box;"><section style="width: 8px;height: 8px;background-color: rgb(255, 76, 65);box-sizing: border-box;"><br/></section></section></section></section></section><section style="margin-right: 8px;margin-left: 8px;letter-spacing: 0.544px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;box-sizing: border-box;"><section data-support="96编辑器" data-style-id="32246" style="box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;box-sizing: border-box;"><section style="padding: 5px 10px;border-left: 7px solid rgb(255, 76, 65);background-color: rgb(254, 245, 244);box-sizing: border-box;"><section style="color: rgb(99, 99, 99);letter-spacing: 2px;font-size: 20px;box-sizing: border-box;"><p><span style="font-size: 16px;color: rgb(255, 76, 65);"><strong>5种常见测量血压的错误行为</strong></span></p></section></section></section></section></section><section><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 那么我们在测量血压的时候容易犯哪些错误呢？</span></p></section></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="color: rgb(255, 76, 65);">（1）</span>血压仪长年累月不进行校准；</span></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="letter-spacing: 1px;color: rgb(255, 76, 65);">（2）</span>测量血压前没有休息合适的时间，没有规避吸烟等；</span></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="letter-spacing: 1px;color: rgb(255, 76, 65);">（3）</span>测量时交谈，翘二郎腿，身体过度弯曲；</span></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="letter-spacing: 1px;color: rgb(255, 76, 65);">（4）</span>仅测量一次血压，尤其是如本文案例，在极度情绪异常、睡眠障碍等影响下，仅以一次测得血压值就开始服用较强降压药物，导致血压过低，大脑等重要脏器灌注不足，会出现体位性低血压；</span></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"><span style="letter-spacing: 1px;color: rgb(255, 76, 65);">（5）</span>迷恋诊室血压，不相信家庭血压监测。其实只要仪器及测量方法无错误，家庭测量的血压值是更值得信赖的，因为至少规避了白大衣性高血压等，家庭多次监测血压对临床治疗方案的选择和调整更具有指导意义。 </span></p><p style="line-height: 2em;letter-spacing: 1px;"><span style="font-size: 16px;"> 了解了这些，您对测血压还有哪些疑问，欢迎在下方留言！</span></p><p><section style="max-width: 100%;letter-spacing: 0.544px;background-color: rgb(255, 255, 255);font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section 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!important;">联系方式</strong></p></section></section></section></section></section></section><section style="margin-bottom: 10px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="padding-right: 20px;padding-left: 20px;max-width: 100%;box-sizing: border-box;color: rgb(62, 62, 62);letter-spacing: 1.8px;line-height: 1.8;overflow-wrap: break-word !important;"><section style="max-width: 100%;line-height: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;">1、咨询株洲恺德心血管病医院订阅号<strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(7, 48, 196);box-sizing: border-box !important;overflow-wrap: break-word !important;">在线客服；</span></strong><br style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"/>2、咨询电话：<strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;color: rgb(7, 48, 196);box-sizing: border-box !important;overflow-wrap: break-word !important;">0731-28265873</span></strong></section><section style="max-width: 100%;line-height: 2em;box-sizing: border-box !important;overflow-wrap: break-word !important;">3、联系地址：株洲恺德心血管病医院<span style="max-width: 100%;color: rgb(7, 48, 196);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">第三住院大楼2楼（心血管内三科）</strong></span></section></section></section></section></section></section></section></section><section style="max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="max-width: 100%;letter-spacing: 0.544px;text-align: right;font-size: 12px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="margin-top: 10px;margin-bottom: 10px;max-width: 100%;font-size: 16px;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="max-width: 100%;box-sizing: border-box;border-top: 1px solid rgb(7, 48, 196);line-height: 0;overflow-wrap: break-word !important;"><section style="max-width: 100%;line-height: 0;width: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section><section style="margin-top: 3px;max-width: 100%;box-sizing: border-box;border-top: 4px solid rgb(7, 48, 196);line-height: 0;overflow-wrap: break-word !important;"><section style="max-width: 100%;line-height: 0;width: 0px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section></section><section style="max-width: 100%;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;">文案：刘平平</span></p></section></section><p style="max-width: 100%;min-height: 1em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></p></section></section></p><p><br/></p><link rel="stylesheet" href="//bbs.zhuzhou.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_ERH" id="wcn_editor_css"/>
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