1, etiology and treatment. Strengthen nutrition for the physically weak; We should strengthen the treatment of patients with consumptive diseases such as tuberculosis; Drug-induced patients can stop using or adjust the dose. If hypertensive patients feel uncomfortable after taking antihypertensive drugs, they should adjust the administration method and dosage under the guidance of doctors, or switch to mild antihypertensive drugs such as compound antihypertensive tablets, nifedipine or traditional Chinese medicine as needed, and stop using antihypertensive drugs when necessary; For patients with postural hypotension, be careful not to be too violent when standing from prone position, or hold things with your hands to prevent wrestling caused by hypotension.
2. Strengthen exercise appropriately. Life should be regular to prevent excessive fatigue, because extreme fatigue will lower blood pressure. To maintain a good mental state, properly strengthen exercise, improve physical fitness, improve the regulation function of neurovascular, accelerate blood circulation, and reduce the onset of orthostatic hypotension, the elderly should choose exercise according to environmental conditions and their own physical conditions, such as Tai Ji Chuan, walking, aerobics, etc.
3, adjust diet, diet therapy. It is not advisable to eat too much every meal, because eating too much will reduce the blood flowing back to the heart; Old people with low blood pressure can drink some salty boiled water every morning, or eat a slightly salty diet to increase water. More water entering the blood can increase blood volume and raise blood pressure; Drink tea in moderation, because caffeine in tea can excite the respiratory center and cardiovascular system; Moderate drinking (wine is the best, or beer is the best, not hard liquor) can excite sympathetic nerves, speed up blood flow, promote heart function and reduce blood viscosity.
Common sense of daily life prevention in patients with hypotension
1. Looking up at night can relieve the symptoms of hypotension.
2. Exercise and enhance physical fitness. Usually develop the habit of exercise, eat a balanced diet, cultivate a cheerful personality, and ensure adequate sleep and a regular and normal life.
When you get up in the morning, you should change your posture slowly to prevent your blood pressure from dropping suddenly. You shouldn't stand up suddenly, but turn around and stand up slowly. Don't bend and stretch your limbs too fast, such as lifting heavy objects or standing up slowly after defecation. The temperature of bath water should not be too hot or too cold, because heat can dilate blood vessels and lower blood pressure, while cold can stimulate blood vessels and raise blood pressure. Frequent bathing can speed up blood circulation, or wash feet alternately with cold water and warm water. For the elderly with varicose veins of lower limbs, it is especially recommended to wear elastic socks, tights or bandages to strengthen venous return. Thin people should drink more water every day to increase their blood volume.
4. Don't stand in a sultry or anoxic environment for too long to reduce the incidence. Patients with mild hypotension do not need medication if they have no symptoms. Severe patients with obvious symptoms must be actively treated to improve symptoms, improve quality of life and prevent serious harm.
Self massage. ※。 ※
Lie on your back in bed, put your arms on your sides naturally, close your eyes, relax yourself, eliminate other thoughts, and meditate on "quietness" when inhaling and "relaxation" when exhaling, and repeat for 2 ~ 5 minutes. Then do the following self-massage:
1 Put your fingers slightly apart on your head and massage the whole head for about 2 ~ 3 minutes.
First, massage the temples with two palms from the middle of the forehead for 30 seconds, and then massage the left and right temples with the middle fingers of both hands for 6 ~ 8 times.
Close your eyes gently and massage with your fingers from the root of the bridge of the nose through the upper eyelid to the outer corner of your eye. Repeat 4 ~ 5 times.
Lift your chin slightly, put your left palm on your right neck, and massage from the mandibular angle through the neck to the clavicle for 8 ~ 10 times. Massage the left side with your right hand as described above.
Place your thumb on the same side of the carotid artery, gently press it for 5 ~ 6 seconds, rest for 10 ~ 15 seconds, repeat for 3 ~ 4 times, and then do the other side.
6 Put two fingers on the forehead, massage both sides of the neck, then massage both sides of the neck with the root of the palm, and repeat 8 ~ 10 times.
7 Press the temples with the fingers of both hands, from light to heavy, lasting for 5 ~ 6 seconds, and repeating for 5 ~ 6 times.
Inhale, press the lower part of the chest (both sides) with both hands at the same time, and then exhale slowly from the half-closed mouth. Repeat 4 ~ 5 times.
Exercise in bed. ※。
1 Lie on your back, raise your arms, cross your hands, pull back, inhale when pulling, and exhale when recovering. Repeat 3 ~ 4 times.
Lift your arms from both sides of your body to the top of your head, hold them with both hands, then slowly straighten your fingers, inhale again, and put your arms down from both sides to recover.
Lie on your back with your arms at your sides. Inhale, lift your knees together, touch your chest as much as possible, and exhale after recovery. Repeat 5 ~ 6 times. You can also bend your knees and lift your legs in turn.
4 Lift one leg when exhaling, lower it when inhaling, lift the other leg when exhaling, and lower it when inhaling. Repeat 4 ~ 5 times.
5 Lie on your back, inhale first, bend your neck forward so that your chin touches your chest, and then exhale. Repeat 5 ~ 6 times.
Sit on the bed, turn your head to the left, and then turn to the right. Repeat 5 ~ 6 times.
7 Sit on the bed and twist your upper body left and right. Repeat 4 ~ 5 times.
Sit on the bed with your legs straight, lean forward, stretch your arms forward, and touch your feet as much as possible. Repeat 5 ~ 6 times.
9 Sit up when exhaling, immediately turn right 1 time, lie down, and resume the preparatory posture. Sit up again when breathing for the second time, immediately turn left 1 time, lie down, and resume the preparation posture. Repeat 4 times.
10 Lie on your back, straighten your legs together, raise them by 50 ~ 60 degrees, inhale when lifting your legs, and exhale when lowering them. Repeat 6 ~ 8 times.
Diet therapy for hypotension
1, strengthen nutrition, combine both meat and vegetables, reasonably match the diet, ensure the intake of comprehensive and sufficient nutrition, and gradually make the physique stronger from delicate. Eat more foods that tonify qi and blood and warm spleen and kidney, such as lotus seeds, longan, jujube, mulberry and other fruits, which have the functions of nourishing blood, strengthening spleen and nourishing brain, and can be eaten often. Stewed lean meat with ginseng, stewed mutton with angelica and stewed chicken with Tianqi are very beneficial to patients with hypotension. Drink more soup, drink more water and increase salt intake.
2. If anemia is accompanied by low red blood cell count and insufficient hemoglobin, you should eat more foods rich in "hematopoietic raw materials" such as protein, iron, copper, folic acid, vitamin B 12 and vitamin C, such as pig liver, egg yolk, lean meat, milk, fish and shrimp, shellfish, soybeans, tofu, brown sugar and fresh vegetables and fruits. Correcting anemia is conducive to increasing cardiac output, improving cerebral blood supply, raising blood pressure and eliminating adverse symptoms caused by hypotension.
3, accompanied by eating less, it is appropriate to eat foods and condiments that can stimulate appetite, such as ginger, onion, vinegar, sauce, sugar, pepper, pepper, beer, wine and so on.
Contrary to hypertension, this disease should choose an appropriate diet with high sodium and cholesterol. Sodium chloride (that is, salt) needs to be ingested 12- 15g every day (but the salt intake should not be too high). Brain, liver, eggs, cream, fish eggs, pig bones and other foods. It contains more cholesterol and is often eaten in moderation, which is conducive to raising blood cholesterol concentration, increasing arterial tension and raising blood pressure.
5. Eat less red beans, gourd, wax gourd, watermelon, celery, hawthorn, bitter gourd, mung bean, garlic, kelp, onion, sunflower seeds and other foods that have antihypertensive effects.