1. High sodium and low potassium diet.
2. Overweight and Obesity: Body Mass Index? The risk of hypertension at 24Kg/m2 is 3? Four times, the risk of diabetes is 2? The risk of hypertension and diabetes with more than two risk factors is 3 times. Four times. Male waistline? 90cm, female? The risk of hypertension in people with a waist circumference of 85cm is 3.5 times that of people with a waist circumference below this limit.
3. Drinking: the average daily drinking is more than three standard cups (1 standard cup is equivalent to 12g alcohol, about 360g beer, or 100g wine, or 30g white wine), and the systolic and diastolic blood pressures increase by 3.5mmHg and 2. 1mmHg respectively, and the increase of blood pressure increases with the amount of drinking.
4. Other risk factors (heredity, sex, age, work stress, psychological factors, hyperlipidemia, etc.). )
Graded management of hypertension: manage according to the grading standard of hypertension.
1, risk level 1
(1) management object: male age
(2) Management requirements: Follow-up at least every 3 months 1 time to learn about blood pressure control. According to the risk factors of patients, non-drug treatment is the main prescription of health education. 6- 12 months, when the effect of simple non-drug treatment is not good, increase drug treatment.
2. Risk level II
(1) management object: patients with grade 2 or 1~2 hypertension, with 1~2 other cardiovascular risk factors, belong to moderate risk according to risk stratification.
(2) Management requirements: Follow-up at least every 2 months 1 time to learn about blood pressure control. According to the risk factors of patients, health education prescriptions based on non-drug treatment are adopted to change unhealthy lifestyles. When the effect of simple non-drug treatment is not good for 3~6 months, increase drug treatment and evaluate the effect of drug treatment.
3. Risk Grade 3
(1) Management object: Grade 3 hypertension or three or more other cardiovascular risk factors or target organ damage or diabetes or coexisting clinical symptoms. According to the risk stratification, patients with hypertension belong to high risk and very high risk.
(2) Management requirements: Follow-up at least/kloc-0 times a month, find out hypertension crisis in time, understand the level of blood pressure control, strengthen standardized antihypertensive treatment, emphasize taking medicine on time, pay close attention to the patient's condition development and possible side effects of drug treatment, promptly warn and evaluate the patient's target organ damage when finding abnormal conditions, and urge the patient to go to the hospital for gradual treatment.
The above is a reference for health managers to share. I hope it will be helpful to all candidates. If you want to know more, please pay attention to this platform in time!