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导致血压波动的原因十分复杂。有的是疾病导致血压的波动,如甲亢、嗜铬细胞瘤、原发性醛固酮增多症等疾病。此外,日常生活中的情绪、环境、睡眠、饮食、药物等均可以影响血压波动。例如寒冷的环境可让人的血压升高;秋冬季节和夏季相比,血压会平均上升5毫米汞柱左右;在昼夜变化中,白天的血压较高,睡眠时稍低。由此可见,引起患者血压波动大的原因是多方面的。患者千万不可血压有所波动就擅自调药,也不可长期服用同种降压药不进行复查及调整药量。降压药有很多种类,具有各自的特长及副作用,适用于不同人群。心血管医师会根据患者的年龄、血压、症状、各器官的状态、个体反应等予以不同的降压药物。而且在门诊调药之后仍需密切
Causes of blood pressure fluctuations is very complicated. Some diseases lead to fluctuations in blood pressure, such as hyperthyroidism, pheochromocytoma, primary aldosteronism and other diseases. In addition, the daily life of the emotions, the environment, sleep, diet, drugs, etc. can affect blood pressure fluctuations. For example, the cold environment can make people’s blood pressure rise; autumn and winter compared to summer, the average blood pressure rose about 5 mm Hg; in day and night changes, during the day the blood pressure is higher, sleep slightly lower. Thus, the causes of fluctuations in patients with large blood pressure is multifaceted. Do not arbitrarily adjust the patient’s blood pressure fluctuations, nor long-term use of antihypertensive drugs without review and adjust the dose. There are many types of antihypertensive drugs, with their own strengths and side effects, suitable for different populations. Cardiovascular physicians will be based on the patient’s age, blood pressure, symptoms, the status of various organs, individual reactions to different antihypertensive drugs. And in the outpatient medication still need close