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脉压差大的原因是什么?

发布时间:2016-08-02   问大夫  责任编辑:红豆

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有些老年患者在检查血压时,会被医生告知脉压差大。对于高血压患者,需要注意脉压差大的危险性。脉压差过大会对心血管系统造成不良影响,因此,患者应当引起重视。患者如果发现自身脉压差大,需要进行及时的治疗。那么造成脉压差大的原因是什么呢?以及脉压差大该怎么治疗呢?下面小编来带大家了解一下。

脉压差过是什么

影响因素:压差大于60毫米汞柱称之为差值过大,凡能影响收缩压和舒张压的因素,都可影响脉压差。常见引起脉压差过大的疾病有主动脉瓣关闭不全、主动脉硬化、甲亢、严重贫血、风湿性心脏病、部分先天性心脏病与高血压心脏病等。所以最到医院进行一次全面体检,看看有无问题。对于这种治疗主要是对因治疗。

血压是指血液流动时对血管侧壁的压力。血压分为收缩压与舒张压,收缩压与舒张压之间的差称为“脉压差”。例如,收缩压为120毫米汞柱,舒张压为80毫米汞柱,脉压差则为40毫米汞柱。

一般情况下,正常人的脉压差为20~60毫米汞柱(2.67~8.0Kpa),大于60毫米汞柱的就为脉压差过大,小于20毫米汞柱的则为过小。

通常,人们在测量血压时往往只注意血压的高低,很少关心脉压差的大小,殊不知脉压差的大小具有重要的临床意义。 所以压差异常最好到医院进行一次全面体检,看看有无问题.对于这种治疗主要是对因治疗。

造成脉压差过大的原因

脉压差过大见于动脉瓣关闭不全、主动脉硬化、甲亢、严重贫血、风湿性心脏病、部分先天性心脏病与高血压心脏病等。

1)患高血压及动脉硬化,致使动脉壁弹性减弱,收缩压升高,而舒张压降低;

2)长期患高血压,致使心肌超负荷运转,造成心脏扩大或动脉瓣关闭不全;

3)患甲状腺机能亢进(甲亢)或严重贫血。

脉压差大的治疗方法

脉压差过大会对心血管系统产生不良影响,因此,应引起重视。

治疗上因老年人血压调节功能减退,用降压药时要从小剂量开始,达到有效治疗剂量后再维持治疗,以后根据情况调整剂量。可选用时效长、降压稳、副作用小、对心脑血管有保护作用的药物,如依那普利、培哚普利、硝苯地平控释片等。除药物治疗外,保持健康的生活方式对防治高血压也很重要,饮食上应低盐、低脂,避免精神刺激,控制体重,并要适当运动。同时应检查有无血糖、血脂增高的情况,并积极防治。

最后小编建议大家,除药物治疗外,保持健康的生活方式对防治高血压也很重要,饮食上应低盐、低脂,避免精神刺激,控制体重,并要适当运动。同时应检查有无血糖、血脂增高的情况,并积极防治。 

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