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控制高血压,是说24小时都要正常么,活动时血压超标可以么******

原标题:控制高血压,是说24小时都要正常么,活动时血压超标可以么

有人问华子,高血压患者的血压,是需要控制在一天中24小时都要达标么?如果活动时超标了怎么办?华子说,人的血压有自然节律性,正常的血压会有“两峰一谷”的现象,控制血压的目标,就是要把血压的峰值降至正常。从这个角度来看,如果血压峰值降至正常,那么全天24小时的血压都应在正常范围内。

一、控制血压需要峰值达标

正常人的血压在每天的上午6~8点,以及下午的15~17点,会有两个血压高峰,在午夜24点至凌晨2点左右又会降至最低。这是人体为了适应白天活动夜间睡眠的生物规律,而做出的调节。血压的峰值与低值相差10%,不会超过20mmHg。在静息情况下,人体血压的正常峰值并不会超过140/90mmHg

但部分高血压患者以及年龄较大的老年人,会失去血压“两峰一谷”的自然节律,或是血压波动剧烈,昼夜血压的变化范围超过20mmHg,达到40~50mmHg。只要静息时血压在峰值时超过140/90mmHg,就可以确诊为高血压

有一些高血压患者平时血压正常,只有峰值期会升高。当他们发生心、脑、肾、眼底及血管等器官损伤时,通常会一脸诧异的问医生,自己没有高血压怎么也会患这些病?就是因为他们的血压峰值期发生在医院正常开诊以外的时间,造成了漏诊。

所以华子建议高血压患者,或是有高血压危险因素的人,在检测血压时,尽量做24小时的动态血压监测。或是在家庭备一个上臂式的电子血压计,进行多次自测。不仅可以确定自己是否患有高血压,还可以掌握自身的血压规律,方便服药治疗。要注意的是,家庭自测的血压超过或是等于135/85mmHg,即可确诊为高血压

二、活动时的血压会升高

有人问华子,一天24时小时人在不停的活动,只要有血压升高就算高血压么?华子告诉他并不是这样,人在运动、激动、紧张、焦虑、恐惧时,血压会都升高。测量血压时,应当去除以上因素的影响。

人体的收缩压是由心输出量所决定,当人体在运动时,心率加快,心输出量加大,血压自然会升高。正常状态下,人在运动的时候,收缩压会升高20~30mmHg。而且人在运动时小动脉扩张,外周阻力下降,所以舒张压不变或是略低

人在运动后测量血压,收缩压升到160~170mmHg,舒张压不变或是略低,是正常的情况。如果收缩压高于200mmHg,或是舒张压高于90mmHg,那就有可能是高血压了。坚持长期中等强度的运动,对控制血压有利。但如果血压达到了180/110mmHg,并且不受控制,就要避免中等强度以上的运动,以免诱发脑出血或是动脉夹层等疾病。

短期或是偶尔的情绪不良,所影响的血压不会发生问题。但如果长期情绪不良,也会导致高血压。这种情况在中青年人群比较常见,也就是高压正常,低压升高的单纯舒张性高血压。这是高血压的初期阶段,长期不加控制就会进展为经典性高血压,造成各种器官的损伤。所以中青年人在发现单纯低压升高时,要尽早控制。

综上所述,对血压的控制是要求静息时的峰值血压达标,也可以简单的理解为24小时的静息血压都需要达标。高血压患者应加强血压自测,并做好记录,掌握自己血压的“时间密码”,这对用药和日常活动安排都非常的重要。血压如果不能控制正常者,就要避免进行中等强度的活动。使用药品时,应在医生的指导之下,用药过程中发现问题,请及时咨询医生或是药师。我是药师华子,欢迎关注我,让我成为你身边的药剂师。

华商直播帮******

2月25日上午,华商报记者在业主顾女士家看到,一进门正对的房梁已全部发霉鼓包,次卧的房顶密密麻麻都是黑色的霉点,明显能闻到发霉的味道,主卧的墙壁也已经发霉。

“这个次卧已经没法住人了,我想装修还不敢装修,担心装修完继续漏水。”顾女士说,前几年房子就开始漏水了,去年雨季以来严重漏水,一下雨家里就要放置七八个盆用来接水,后来房子就成了现在的样子。没办法,半年多时间以来,儿子和爸爸住主卧,顾女士就睡沙发。

记者在现场看到,其他几户顶楼业主家也不同程度出现了屋顶渗水、墙皮脱落、墙壁裂缝等现象,有业主前几年还专门重新装修了房屋,结果又开始掉墙皮。

据了解,该小区属于小产权房,业主们2006年开始陆续入住。该小区物业经理王先生称,他们一直在排查漏水点,从观察情况来看外墙渗水比较严重,所以先进行外墙防水。“去年我们找了专业人员,说是要把整个楼顶的防水重新做,但是价格较高,需要7万多元钱。”王先生说,小区没有房产证没法使用大修基金,再加上楼顶有很多业主家的太阳能,所以这一方案比较难推进,目前只能一步一步来。




华商报记者 赵瑞利

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Economic Watch: Upgraded China******

NANNING, Nov. 23 (Xinhua) -- HF SPIRIT, a freighter sailing from Jakarta, capital of Indonesia, arrived at the Qinzhou Port in south China's Guangxi Zhuang Autonomous Region on Nov. 20, bringing five reefer containers filled with fresh fruit.。

"Indonesia's bananas, mangosteens, Thailand's coconuts, longan, durians and Vietnam's pitaya are the 'frequenters' on our ship," said Lu Xiaoshan, manager of the shipping department of the New Sitc International Shipping Agency (Shanghai) Co., Ltd's branch in Qinzhou.。

The company in recent years has constantly added new routes to member countries of the Association of Southeast Asian Nations (ASEAN) thanks to robust China-ASEAN trade, Lu added.。

This year marks the 30th anniversary of the establishment of dialogue relations between China and ASEAN. Over the past three decades, trade between China and ASEAN has skyrocketed by 85 times. Last year, China remained ASEAN's largest trading partner for 12 consecutive years, while ASEAN became China's largest trading partner.。

Since the implementation of the China-ASEAN Free Trade Agreement (CAFTA) in 2010, the trade in goods and services between China and ASEAN has grown rapidly through the deep integration of industrial and value chains. Tariffs on 7,000 products have been scrapped under the CAFTA framework.。

On Monday, China and ASEAN jointly announced the establishment of a comprehensive strategic partnership -- a new milestone in the history of China-ASEAN relations -- to contribute further to the building of an open, inclusive and sustainable region that enjoys peace, security, prosperity and sustainable development.。

Wang Zhengbo, chief executive officer of Guangxi TWT Supply Chain Management Co., Ltd., is busy exploring new business opportunities recently by importing Cambodian tapioca, mango, rice and other agricultural products to China.。

Wang said that Cambodia's produce has advantages in quality and price. "The deepening of bilateral cooperation has made cross-border business much more convenient. Moreover, after learning that the Regional Comprehensive Economic Partnership (RCEP) agreement will soon take effect, two banks have proposed to provide financial support for our new business," said Wang, adding that the newly harvested Cambodian tapioca chips will soon depart for China.。

Initiated by the 10 ASEAN countries to establish a unified market by reducing tariffs and non-tariff barriers, the RCEP will take effect on Jan. 1, 2022, and more than 90 percent of merchandise trade in the region will be eventually subject to zero tariffs.。

The RCEP includes 10 ASEAN members, China, Japan, the Republic of Korea (ROK), Australia and New Zealand. The 15 states' total population, gross domestic product and trade all account for about 30 percent of the world total.。

Do Nam Trung, consul general of Vietnam in Nanning, said that the signing of RCEP will greatly boost the development of economic globalization, and usher in a new era of economic and trade exchanges between ASEAN and China.。

RCEP is especially useful in reducing and removing trade obstacles, creating the world's largest common market, where goods and services could be more freely traded, thus accelerating the regional and world economic revivals, noted Oh Ei Sun, a senior fellow at Singapore Institute of International Affairs.。

"The China-ASEAN relationship has developed into the most successful and dynamic model of cooperation in the Asia-Pacific region," said Zhai Kun, professor of the school of international studies at Peking University.。

"The upgrading of China-ASEAN bilateral relations will offer more cooperation options for regional and global governance, and to a large extent drive the progress of RCEP," Zhai added. Enditem。

Canada PM Trudeau says tests positive for Covid******

Canadian Prime Minister Justin Trudeau said Monday he has tested positive for Covid-19, while calling out truckers protesting against vaccine mandates.

"I feel well and have no symptoms," the 50-year-old premier told a news conference.

Trudeau had announced last week he was isolating after being exposed to the coronavirus. Two of his three children have also since tested positive, he said.

Trudeau, who received his third dose of the Covid vaccine in January, urged Canadians to get vaccinated and boosted, as the nation battles a rise in cases and hospitalizations due to the Omicron variant.

He will not be physically present for the return of parliament on Monday after a winter break, saying he would be "working remotely this week and keep following public health guidelines."

Outside parliament, a mass protest led by Canadian truckers opposed to vaccine mandates for crossing the Canada-US border continued for a third day.

The demonstration was much smaller than on the weekend when some 8,000 protestors, according to police, converged on the capital with horns blaring, clogging downtown streets and forcing closures of stores, schools and Covid vaccine clinics.

Trudeau defended the vaccination mandate, noting that 90 percent of drivers are already vaccinated.

"It is not by demonstrating against the pandemic but by getting vaccinated" that Canada will end public health restrictions aimed at slowing the spread of the virus, he said.

The prime minister also condemned the actions of some protestors over the weekend, when demonstrators had propagated racist messages and flown Nazi flags, as well as danced and urinated on the National War Memorial. Some also reportedly forced a local soup kitchen to serve them meals intended for the homeless.

"We are not intimidated by those who hurl insults and abuse at small business workers and steal food from the homeless," Trudeau said.

"We won't give in to those who fly racist flags. We won't cave to those who engage in vandalism or dishonor the memory of our veterans."

Police have opened several criminal investigations into alleged threats and intimidation by protestors.

On Monday, a truck collided with a police barrier blocking access to the parliamentary precinct.

"There were no injuries and the situation was de-escalated," a police spokesperson told AFP.

The nation's most populous province of Ontario, where Trudeau lives in the capital Ottawa, is expected to start easing Covid restrictions from Monday, allowing restaurants, bars, sports venues and movie theaters to re-open.

Canada has recorded more than 2.9 million cases of Covid-19 and more than 33,000 deaths since the start of the pandemic.

台海军演开始,美国反诬中方“改变现状”

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4.评美国防部2020年度《中国军事与安全发展报告》

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