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高血压治疗的12个常见误区 一次说清楚
Yang Shi Xin Wen·2025-08-14 01:19

Misconceptions about Hypertension Treatment - Misconception 1: No symptoms means no medication is needed. Early-stage hypertension often shows no symptoms, but untreated high blood pressure can severely damage organs like the heart, brain, and kidneys, necessitating active intervention once diagnosed [1] - Misconception 2: Normal blood pressure allows for stopping medication. Hypertension is a chronic condition requiring long-term medication to control blood pressure, as stopping can lead to rebound hypertension and increased risk of complications like myocardial infarction and stroke [3] - Misconception 3: Antihypertensive drugs are addictive. Antihypertensive medications are non-addictive, and while they may be temporarily stopped in cases of stress-induced hypertension, diagnosed patients must adhere to their medication regimen to prevent blood pressure from rising again [4] - Misconception 4: Initial treatment should not use "good drugs." Long-acting antihypertensive medications are preferred for stable blood pressure control, while short-acting drugs are reserved for acute situations [6] - Misconception 5: High blood pressure should be rapidly normalized. Blood pressure should be lowered gradually to avoid complications like cerebral hypoperfusion, with a focus on a slow, steady, and moderate reduction [7] - Misconception 6: Single blood pressure measurement is sufficient for diagnosis. A proper diagnosis of hypertension requires multiple measurements over different days, as occasional high readings can be due to anxiety [9] - Misconception 7: Frequent changes in medication are beneficial. Finding the right antihypertensive medication can take time, and once stable, patients should continue with their regimen unless adverse effects occur [10] - Misconception 8: Self-medicating based on others' experiences is safe. Hypertension has various causes and individual responses to treatment can differ, making it essential to follow a doctor's guidance for medication [12] - Misconception 9: Health supplements can effectively lower blood pressure. Many believe in the efficacy of health supplements for blood pressure control, but these claims lack scientific validation and can delay proper treatment [13] - Misconception 10: Intravenous treatment is necessary for hypertension. Most cases of hypertension should be managed with oral medications, reserving intravenous treatment for acute hypertensive crises [14] - Misconception 11: Lower blood pressure is always better. Extremely low blood pressure can compromise organ perfusion, leading to serious conditions like cerebral thrombosis [16] - Misconception 12: Regular check-ups are unnecessary. Patients should have periodic evaluations to monitor for adverse drug reactions and assess the impact on target organs, even if blood pressure appears stable [17]