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mb30">動(dòng)脈硬化和血壓的關(guān)系動(dòng)脈硬化的人都有高血壓?jiǎn)?/h1> <div id="ey1uvbiufh" class="fc9 f24 flex aic lh32 mb10"> <time class="icon-time">2025-06-23</time> <span id="ey1uvbiufh" class="icon-eye ml40"> 1917人瀏覽</span> </div> <div id="ey1uvbiufh" class="detail-content wbwr f32 lh52 pt20 taj"><p>動(dòng)脈硬化患者不一定都有高血壓，但高血壓可能加速動(dòng)脈硬化進(jìn)展。動(dòng)脈硬化與高血壓存在相互影響的關(guān)系，主要有動(dòng)脈硬化導(dǎo)致血管彈性下降、高血壓加重血管內(nèi)皮損傷、長(zhǎng)期高血壓促進(jìn)動(dòng)脈斑塊形成、動(dòng)脈硬化引發(fā)繼發(fā)性高血壓、遺傳因素共同作用等機(jī)制。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/7A/AC/o4YBAGhWMBqANuNwAACC7hUzkKI661.jpg"></p><p>1、動(dòng)脈硬化導(dǎo)致血管彈性下降</p><p>動(dòng)脈硬化會(huì)使血管壁增厚、彈性減弱，導(dǎo)致血管對(duì)血流的緩沖能力降低。這種情況下，心臟需要更高壓力才能維持正常血液循環(huán)，可能引起收縮壓升高。血管彈性下降還會(huì)導(dǎo)致脈壓差增大，這是老年性高血壓的典型特征。患者可能出現(xiàn)頭暈、心悸等癥狀，可通過(guò)血管超聲檢查評(píng)估動(dòng)脈硬化程度。</p><p>2、高血壓加重血管內(nèi)皮損傷</p><p>長(zhǎng)期高血壓產(chǎn)生的血流剪切力會(huì)損傷血管內(nèi)皮細(xì)胞，使低密度脂蛋白膽固醇更容易沉積在血管壁。這種損傷會(huì)激活炎癥反應(yīng)，加速動(dòng)脈粥樣硬化斑塊形成。患者可能出現(xiàn)胸悶、四肢麻木等癥狀，控制血壓有助于延緩動(dòng)脈硬化進(jìn)展。</p><p>3、長(zhǎng)期高血壓促進(jìn)動(dòng)脈斑塊形成</p><p>持續(xù)高血壓狀態(tài)會(huì)刺激血管平滑肌細(xì)胞增殖，促進(jìn)動(dòng)脈內(nèi)膜增厚和脂質(zhì)沉積。這種病理改變可能引發(fā)冠狀動(dòng)脈、頸動(dòng)脈等部位的粥樣硬化。患者可能出現(xiàn)活動(dòng)后胸痛、短暫性腦缺血等癥狀，需要定期進(jìn)行血管影像學(xué)檢查。</p><p>4、動(dòng)脈硬化引發(fā)繼發(fā)性高血壓</p><p>腎動(dòng)脈硬化可能導(dǎo)致腎血管性高血壓，這是繼發(fā)性高血壓的常見(jiàn)類型。腎動(dòng)脈狹窄會(huì)激活腎素-血管緊張素系統(tǒng)，引起血壓持續(xù)性升高。患者可能出現(xiàn)難治性高血壓、腎功能異常等癥狀，需要通過(guò)血管造影明確診斷。</p><p>5、遺傳因素共同作用</p><p>部分人群存在高血壓和動(dòng)脈硬化的遺傳易感性，這類患者往往早年就會(huì)出現(xiàn)血壓異常和血管功能減退。家族中有心腦血管疾病史的人群，更需注意定期監(jiān)測(cè)血壓和血管健康狀態(tài)，早期干預(yù)可顯著降低發(fā)病風(fēng)險(xiǎn)。</p><p><img class="up_image_20111121" src="https://file.bohe.cn/fhfile1/M00/33/0F/oYYBAGhWMBqAMtKmAADpzFxpXDE111.jpg"></p><p>動(dòng)脈硬化患者應(yīng)保持低鹽低脂飲食，每日鈉鹽攝入不超過(guò)5克，適量增加富含膳食纖維的蔬菜水果攝入。每周進(jìn)行150分鐘中等強(qiáng)度有氧運(yùn)動(dòng)，如快走、游泳等，有助于改善血管彈性。戒煙限酒，避免熬夜等不良生活習(xí)慣，定期監(jiān)測(cè)血壓和血脂指標(biāo)。對(duì)于已確診高血壓的動(dòng)脈硬化患者，需嚴(yán)格遵醫(yī)囑服用降壓藥物，不可自行調(diào)整劑量。建議每3-6個(gè)月進(jìn)行頸動(dòng)脈超聲、踝臂指數(shù)等血管功能檢查，及時(shí)發(fā)現(xiàn)并處理血管病變。</p></div> <div id="ey1uvbiufh" class="f24 fc9 lh40 ta-j">免責(zé)聲明：本頁(yè)面信息為第三方發(fā)布或內(nèi)容轉(zhuǎn)載，僅出于信息傳遞目的，其作者觀點(diǎn)、內(nèi)容描述及原創(chuàng)度、真實(shí)性、完整性、時(shí)效性本平臺(tái)不作任何保證或承諾，涉及用藥、治療等問(wèn)題需謹(jǐn)遵醫(yī)囑！請(qǐng)讀者僅作參考，并自行核實(shí)相關(guān)內(nèi)容。如有作品內(nèi)容、知識(shí)產(chǎn)權(quán)或其它問(wèn)題，請(qǐng)發(fā)郵件至suggest@fh21.com及時(shí)聯(lián)系我們處理！</div> <div id="ey1uvbiufh" class="pt40"> <a href="http://m.z3x9u9.com/zmip/17495732.html" class="flex aic next-article ovh f28 fc6 pr15"> <span id="ey1uvbiufh" class="next-left tac fs0 fcf h-1">下一篇</span> <div 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