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id="3v7ddl357n9" class="header-sub-wrap-mask" on="tap:header-sub-wrap.toggle"></div> </mip-toggle>   <div id="3v7ddl357n9" class="posr Js_topYiyuan"> <div id="3v7ddl357n9" class="yilian_box_prev"></div> <div class="3v7ddl357n9" id="5G2B4Z9E" class="yilian_box"></div> </div> <div id="3v7ddl357n9" class="bw pl30 pr30 pb30 mb20"> <h1 class="f46 lh58 wbwr pt30 mb30">高血壓是由哪些原因?qū)е碌?/h1> <div id="3v7ddl357n9" class="fc9 f24 flex aic lh32 mb10"> <time class="icon-time">2025-12-28</time> <span id="3v7ddl357n9" class="icon-eye ml40"> 2661人瀏覽</span> </div> <div id="3v7ddl357n9" class="detail-content wbwr f32 lh52 pt20 taj"><p>高血壓可能由遺傳因素、高鹽飲食、肥胖、長(zhǎng)期精神緊張、慢性腎病等原因引起。高血壓是以體循環(huán)動(dòng)脈壓升高為主要表現(xiàn)的臨床綜合征，可分為原發(fā)性高血壓和繼發(fā)性高血壓。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/61/D8/oYYBAGlJCuGAH2wjAAhvhkSiD2Y461.jpg"></p><p>高血壓具有明顯的家族聚集性，父母患有高血壓的人群發(fā)病概率顯著增高。這類患者可能存在鈉離子轉(zhuǎn)運(yùn)異常、腎素-血管緊張素系統(tǒng)基因多態(tài)性等遺傳缺陷。建議有家族史者定期監(jiān)測(cè)血壓，保持低鹽飲食和規(guī)律運(yùn)動(dòng)。</p><p>每日鈉鹽攝入量超過(guò)6克會(huì)導(dǎo)致水鈉潴留，增加血容量和血管外周阻力。長(zhǎng)期高鹽飲食會(huì)損傷血管內(nèi)皮功能，促進(jìn)動(dòng)脈硬化。日常應(yīng)注意減少腌制食品、加工食品的攝入，多食用新鮮蔬菜水果補(bǔ)充鉀離子。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/61/D8/oYYBAGlJCuGAHTGHAAhEobpdmmE685.jpg"></p><p>體重指數(shù)超過(guò)28的人群中，脂肪組織分泌的瘦素、血管緊張素原等物質(zhì)會(huì)激活交感神經(jīng)系統(tǒng)，同時(shí)胰島素抵抗會(huì)導(dǎo)致血管收縮。減輕體重5-10%即可顯著降低血壓，建議通過(guò)飲食控制和有氧運(yùn)動(dòng)相結(jié)合的方式科學(xué)減重。</p><p>持續(xù)的心理壓力會(huì)促使腎上腺素、皮質(zhì)醇等應(yīng)激激素分泌增加，引起血管持續(xù)收縮。這類患者常伴有失眠、焦慮等癥狀，可通過(guò)正念訓(xùn)練、心理咨詢等方式緩解壓力，必要時(shí)可遵醫(yī)囑使用酒石酸美托洛爾片等β受體阻滯劑。</p><p>腎實(shí)質(zhì)病變會(huì)導(dǎo)致腎素-血管緊張素-醛固酮系統(tǒng)激活，同時(shí)腎臟排鈉功能減退。這類患者多伴有蛋白尿、血肌酐升高等表現(xiàn)，需使用纈沙坦膠囊等ARB類藥物保護(hù)腎功能，嚴(yán)重者需進(jìn)行血液透析治療。</p><p>高血壓患者應(yīng)建立健康的生活方式，每日食鹽攝入控制在5克以下，每周進(jìn)行3-5次中等強(qiáng)度運(yùn)動(dòng)，保持體重指數(shù)在24以下。戒煙限酒，保證充足睡眠，避免情緒劇烈波動(dòng)。定期監(jiān)測(cè)血壓變化，遵醫(yī)囑規(guī)范使用苯磺酸氨氯地平片等降壓藥物，不可自行增減藥量。合并糖尿病、高脂血癥等疾病時(shí)需進(jìn)行綜合管理。</p></div> <div id="3v7ddl357n9" class="f24 fc9 lh40 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