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class="header flex aic"> <a href="javascript:;" onclick="history.back()" class="fs0 go-back h-1"></a> <div id="ey1uvbiufh" class="title fg1 f42 w-1 ellipsis tac fcf ml10 mr10">心情不好血壓高是高血壓?jiǎn)?/div> <div id="ey1uvbiufh" class="right-menu fs0 h-1 flex"> <a href="javascript:;" on="tap:header-sub-wrap.toggle" class="top-icon-menu h-1 fs0"></a> </div> </header> <mip-toggle id="header-sub-wrap" class="none" layout="nodisplay"> <div id="ey1uvbiufh" class="top_menus"> <div id="ey1uvbiufh" class="clr"> <a href="http://www.z3x9u9.com" class="fll cell">首頁</a> <a href="http://www.z3x9u9.com/yao/" class="fll cell yiyao">醫(yī)藥</a> <a class="fll cell yiyuan">醫(yī)院</a> <a href="http://www.z3x9u9.com/dise/" class="fll cell jibing">疾病</a> <a href="http://www.z3x9u9.com/doctor/" class="fll cell yisheng">醫(yī)生</a> <a href="http://www.z3x9u9.com/zx/" class="fll cell zixun">資訊</a> <a href="http://www.z3x9u9.com/video/" class="fll cell shipin">視頻</a> <a href="http://www.z3x9u9.com/voice/" class="fll 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<div id="ey1uvbiufh" class="detail-content wbwr f32 lh52 pt20 taj"><p>心情不好導(dǎo)致的血壓升高不一定是高血壓病，需結(jié)合測(cè)量標(biāo)準(zhǔn)和持續(xù)時(shí)間綜合判斷。血壓波動(dòng)可能由情緒應(yīng)激、測(cè)量誤差、隱匿性高血壓、白大衣高血壓、原發(fā)性高血壓等因素引起。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/2D/D0/oYYBAGgnEDKAH-h6AACdzkxF6rk346.jpg"></p><p>短期情緒波動(dòng)會(huì)激活交感神經(jīng)系統(tǒng)，促使兒茶酚胺分泌增加，引起心率加快和血管收縮，這種生理性血壓升高通常在情緒平復(fù)后1-2小時(shí)內(nèi)恢復(fù)正常。建議通過深呼吸、正念冥想等方式緩解緊張情緒。</p><p>非標(biāo)準(zhǔn)測(cè)量可能導(dǎo)致假性血壓升高，包括測(cè)量前未靜坐5分鐘、袖帶尺寸不合適、測(cè)量時(shí)交談或雙腿交叉等。推薦使用經(jīng)過認(rèn)證的上臂式電子血壓計(jì)，連續(xù)7天早晚各測(cè)2次取平均值。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/75/B4/ooYBAGgnEDKAHD27AAC4HoVCAVY049.jpg"></p><p>部分人群診室血壓正常但動(dòng)態(tài)監(jiān)測(cè)顯示異常，可能與吸煙、酗酒、睡眠呼吸暫停等有關(guān)。典型表現(xiàn)為晨起血壓驟升、夜間血壓不降，需通過24小時(shí)動(dòng)態(tài)血壓監(jiān)測(cè)確診。</p><p>診室測(cè)量時(shí)因緊張導(dǎo)致血壓升高，而家庭自測(cè)正常，發(fā)生率約15%-30%。這類人群未來發(fā)展為持續(xù)性高血壓的風(fēng)險(xiǎn)是正常人的2倍，建議每3個(gè)月復(fù)查血壓。</p><p>長(zhǎng)期情緒壓力可能通過激活腎素-血管緊張素系統(tǒng)導(dǎo)致慢性血壓升高，通常伴隨頭暈、頸項(xiàng)僵硬等癥狀。確診需滿足非同日3次測(cè)量收縮壓≥140mmHg和/或舒張壓≥90mmHg。</p><p>建立規(guī)律的血壓監(jiān)測(cè)習(xí)慣，每日固定時(shí)間測(cè)量并記錄；飲食上采用得舒飲食模式，增加鎂、鉀、鈣的攝入；每周進(jìn)行150分鐘中等強(qiáng)度有氧運(yùn)動(dòng)如快走、游泳；保證7-8小時(shí)優(yōu)質(zhì)睡眠，避免夜間藍(lán)光暴露；學(xué)習(xí)認(rèn)知行為管理壓力，必要時(shí)在醫(yī)生指導(dǎo)下進(jìn)行藥物干預(yù)。持續(xù)情緒相關(guān)血壓升高超過3個(gè)月應(yīng)及時(shí)就醫(yī)排查繼發(fā)性高血壓。</p></div> <div id="ey1uvbiufh" class="f24 fc9 lh40 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