Diabetic patients with hypertension
1. To keep the blood sugar lower than 7 mmol /l, can orally take hypoglycemic agents and Chinese medicine, if necessary, plus insulin for the therapy.
2. Reasonable chose the antihypertensive drugs. Particularly for the patients accompanied with high blood sugar, high blood pressure, decreased kidney function, the choice of aniti-hypertension medicine must be careful, preferably under the guidance of the doctors.
3. Low down the blood pressure must in accordance with standards, according to the China hypertension treatment goals published in 2004, that the elder¡¯s blood pressure should be less than 140/90 mm Hg, blood pressure in the static ¡Ü 130/85 mmhg, patients with diabetic nephropathy blood pressure ¡Ü 130/85 mmhg; Urinary protein> 1 g / day, and control the blood pressure as far as possible ¡Ü 125/75 mmhg.
Hypertensive patients with cerebrovascular
Provided that the blood pressure drops to fast, may lead to the insufficiency of important organs of the patients with hypertension, such as a cerebral vascular accident, the transient cerebral insufficiency, cerebral thrombosis, and so on. Blood flow slow would easily form the thrombus. So, patients suffering from acute stroke, especially ischemic stroke patients, is not fit for bring down the blood pressure. If need to get the blood pressure down, should take orthostatic hypotension antihypertensive drugs that are smooth, and without side effects, such as nimodipine, nicardipine and so on. Hemorrhagic stroke significantly increased blood pressure, should emergency release the blood pressure.
Hypertensive patients with myocardial infarction
(1) Take medicines under the normal circumstances insistently, patients should chose the suitable medicine under the guidance of the doctor, and insist in taking medicines for a long-term, keep the blood pressure under 137/88mmHg.
(2) Regularly go to the hospital for an examination. Hypertensive patients should take at least 1 ~ 2 times annually the ECG examination.
(3) Enhance the secondary prevention of the myocardial infarction. Patients have coronary heart disease suffering from hypertension should adopt comprehensive prevention and control measures. Have positive treatment of hypertension and coronary heart disease, should effectively ensure to have a regular life, combine the entertainment and labor together, static and dynamic combination of a flip-degree. The instruction of diet should be reasonable, and take proper sports exercises.
Hypertension patients with nephropathy diagnosis
1. Target of the control of blood pressure. Diabetes, hypertension patients with nephropathy, their target should below 130/80.
2. Chose of the treatment and medicine. For hypertension kidney patients, we often use combination therapy, the joint use of a variety of different mechanism of the drug. Now the recommended medicine is RAS blockers, including ACEI, ARB, as the first choice of treatment. For some hypertensive nephropathy patients, whose urinary protein is very high, sometimes we also need ARB and ACEI united in the treatment course, the situation must be according to the specific conditions of the patients.
Pregnancy-induced hypertension
For the pregnant women easily get the gestational hypertension - prone diseases, pregnant women aged <18 years or> 40 years, multifetal pregnancy, with family disease history and the history of gestational hypertension, chronic hypertension, diabetes, malnutrition, anemia, and other serious heart and kidney disease, need to enhance the prenatal health care.
¡¡ Instruct the pregnant women to have reasonable diet and rest. Pregnant women should eat food, fruits and vegetables rich in protein, vitamins, calcium, iron, magnesium, iodine, zinc, and other trace elements, reducing the intake of animal fats and excessive salt. Maintain adequate rest and pleasant feelings, insisted the left decubitus placental villi to increase the blood supply.
¡¡Calcium can prevent pregnancy hypertensive disease. Daily calcium supplementation of 1 to 2 g can effectively reduce the gestational hypertension diseases.
¡¡Once developed some symptoms, in addition to have proper rest, pregnant women should accepted the medicine treatment of sedation, Jiejing, lower the blood pressure.
