[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fHUnoJYxrVU-qQdQ6O9aQxEvBWRAR6ltYeNynuK25UZE":8,"$fIYIyNu-A-Bir7Z4RsrU7HTBtnWT7dHag6APbzhnXse4":92,"$f6EGQxEuY-Aeu0Y60KqjiCBNEt4KeNVO_OwTpe-zzSbY":93,"$fyiE6lK6N67R40SMWVfWNBEMNydnIu1Iuyc47CbBODII":97},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":91},200,"操作成功",{"id":12,"specialistId":13,"specialistAssistants":14,"profilePhoto":15,"specialistName":16,"roleType":17,"adept":18,"hospital":19,"department":20,"postsTitle":21,"materialTotal":17,"videoTotal":22,"isConcern":7,"title":23,"coverVertical":24,"coverAcross":25,"directionMarker":26,"description":27,"vid":28,"time":29,"mediaType":30,"views":31,"likes":17,"isThumbsUp":7,"isCollection":7,"collections":17,"createTime":32,"seoTitle":23,"seoKeywords":33,"seoDescription":34,"shelvesTime":35,"menus":36,"menuId":77,"type":26,"quality":89,"commentCount":17,"isComment":30,"deviceType":40,"url":90},33922,867717,[],"https://ystcdn.venuertc.com/venue/app/31920/2026-07-16/4f22edd9-1180-42cf-b725-f3b587816925.png","崔晓飞",0,"对慢性病，高血压，糖尿病，冠心病等有一定的治疗和管理经验。","杏花岭区社区卫生服务中心","中医科","主治医师",9,"高血压合并脑梗死长期服药要注意什么？社区医生给你实在提醒 🩺","https://ystcdn.venuertc.com/venue/ai-cover/cover_vertical/fd3f3496-93de-44a9-ab38-dfbc8ca31ca9.png","https://ystcdn.venuertc.com/venue/ai-cover/cover_horizontal/d3d74d75-ddd0-4b6e-835c-8bca2aa086d4.png",2,"\u003Cdiv style=\"max-width: 720px; margin: 0 auto; padding: 16px; font-family: \"PingFang SC\", sans-serif;\">\n  \u003Ch2 id=\"material_title\" style=\"font-size: 22px; color: #2c3e50; text-align: center; margin-bottom: 24px;\">高血压合并脑梗死长期服药要注意什么？社区医生给你实在提醒 🩺\u003C/h2>\n\n  \u003Cdiv style=\"background: #f8f9fa; border-radius: 12px; padding: 20px; margin-bottom: 16px;\">\n    我是杏花岭区社区卫生服务中心中医科的崔晓飞医生，平时坐门诊碰到不少有高血压合并脑梗死病史的老年朋友，对自己长期吃的药总有点拿不准的地方。\n  \u003C/div>\n\n  \u003Cdiv style=\"background: #f0f7ff; border-radius: 12px; padding: 20px; margin-bottom: 16px;\">\n    前阵子门诊来了位68岁阿姨，有高血压和脑梗死病史多年，这次来常规配药，说自己一直规律吃药但偶尔还是头沉发晕，以为是天热血压波动，歇会儿就能缓。我接诊后先测血压、做基础心电图，排查体位性低血压、耳石症、颈椎退变这些常见致晕问题，没发现急性异常，建议她去上级医院神经内科做头颅影像学复查。后续结合复诊结果，维持原有降压和改善循环用药方案，近期随访阿姨头沉症状明显缓解，状态稳定。\n  \u003C/div>\n\n  \u003Cdiv style=\"background: #f8fdf5; border-radius: 12px; padding: 20px; margin-bottom: 16px;\">\n    很多有高血压合并脑梗死病史的朋友以为按时吃药就万事大吉，日常不少细节必须盯紧。脑梗死是脑组织局部缺血坏死造成的，这类损伤不可逆，别轻信所谓保健神药能通开坏死脑细胞的不实宣传。如果反复出现头晕，除了血压波动，也可能是耳石症、颈椎病或睡眠不足导致，别直接认定是脑梗死要复发，先静卧测血压观察十分钟，症状未缓解再及时就诊。不少人自行购买银杏叶提取物当“通血管神药”服用，这类药仅能辅助改善慢性脑循环，必须经医生评估后才能长期使用，自行乱加量反而会提升额外出血风险。\n  \u003C/div>\n\n  \u003Cdiv style=\"background: #fff9f0; border-radius: 12px; padding: 20px; margin-bottom: 16px;\">\n    日常照护都是可落地的小事：降压目标要控制在140/90mmHg以下[1]，每天监测血压做好记录；每日盐摄入量要小于5克[2]，避开腌菜酱肉这类高盐食物；每周保持至少150分钟中等强度快走类运动[3]，避免久坐不动；每3个月到社区做一次基础血压、血生化筛查，每年到上级医院神经内科做一次脑血管专项复查。如果突然出现单侧手脚发麻、说话咬字不清的情况，别硬扛，第一时间打120送急诊。\n  \u003C/div>\n\n  \u003Cdiv style=\"background: #fef7f7; border-radius: 12px; padding: 20px; margin-bottom: 16px;\">\n    高血压合并脑梗死的日常管理没有花俏技巧，稳扎稳打做好监测和随访，大多都能把病情控制得十分平稳。\n  \u003C/div>\n\n\u003Csection class=\"refs\" style=\"margin-top:24px;padding-top:12px;border-top:1px solid #e5e5e5;font-size:13px;color:#666;line-height:1.6;\">\n  \u003Cdiv style=\"font-weight:600;margin-bottom:6px;\">参考文献\u003C/div>\n  \u003Cdiv>[1] 中国高血压防治指南修订委员会. 中国高血压防治指南(2018年修订版)[J]. 中国心血管杂志, 2019, 24(1):24.\u003C/div>\n  \u003Cdiv>[2] 中国营养学会. 中国居民膳食指南(2022)[M]. 人民卫生出版社, 2022.\u003C/div>\n  \u003Cdiv>[3] World Health Organization. WHO guidelines on physical activity and sedentary behaviour[R]. Geneva: WHO Press, 2020.\u003C/div>\n\u003C/section>\n\u003C/div>\n\u003Cstyle>\n  * {\n    box-sizing: border-box;\n  }\n\u003C/style>","v0d47cg10004dahrkai7dld94aeapo10",194,1,616,"2026-09-11 16:14:27","高血压, 脑梗死, 用药注意, 头晕, 社区医生, 血压监测, 健康生活, 老年人","了解高血压合并脑梗死患者用药的注意事项，社区医生为您提供专业建议，包括药物管理、日常监测和健康生活习惯。","2026-09-14 09:28:54",[37,58,76],{"menuId":38,"menuName":39,"parentId":17,"orderNum":40,"path":41,"component":42,"isFrame":43,"isCache":44,"menuType":45,"visible":30,"status":17,"createDept":6,"remark":46,"createTime":47,"children":48,"columnImage":49,"columnLogo":50,"uncheckedLogo":51,"checkedLogo":52,"isHot":30,"isHome":17,"forceLogin":17,"color":53,"seoTitle":54,"seoKeywords":55,"seoDescription":55,"contentNum":6,"promotionalPoster":56,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":57,"routerPath":41,"componentInfo":42},"1997925012023775234","热门频道",4,"column","/column/tcm_index.html","1","0","T","","2025-12-08 15:03:37",[],"https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:18/ef345cdc-bb06-4db5-b74d-6ecfafabe83e.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:21/81815950-9711-4b40-8543-421bd7701d0f.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:32/99452289-a401-4ab2-ae91-2a1a1f7442d1.png","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:29/f52b1198-7225-4f72-89f3-605e6a14f530.png","#42a5f6","sadf","asdf","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:10:25/cf4f002d-c534-4c28-b405-a2e504dc5188.png","Column",{"menuId":59,"menuName":60,"parentId":38,"orderNum":61,"path":62,"component":63,"isFrame":43,"isCache":44,"menuType":45,"visible":30,"status":17,"createDept":6,"remark":46,"createTime":64,"children":65,"columnImage":66,"columnLogo":67,"uncheckedLogo":68,"checkedLogo":69,"isHot":17,"isHome":17,"forceLogin":17,"color":70,"seoTitle":71,"seoKeywords":72,"seoDescription":73,"contentNum":6,"promotionalPoster":74,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":75,"routerPath":62,"componentInfo":63},"1989172310225670145","公益项目",6,"public","/column/public_index.html","2025-11-14 11:23:30",[],"https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:13/1b7a5e2b-9e7d-4769-851f-1c55c481fa82.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-18-14:41:18/b79a0a5e-411c-4282-8eaf-86fcc7e492bf.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:17/6f411ecf-82d8-4fb5-9371-fa7faba2cb8f.png","https://ystcdn.venuertc.com/venue/undefined/2025-12-24-16:17:16/93f832c4-2264-4094-88fd-6fd80c8d9369.png","#80cbc4","健康科普工公益行——携手共建健康未来","健康,科普,公益行,健康知识,公众健康,社会健康,健康活动,健康意识","健康科普工公益行活动,传播健康知识,提高公众健康意识,共同促进社会健康发展,关注您和家人的健康！","https://ystcdn.venuertc.com/venue/undefined/2026-01-24-18:12:46/1f2ac83a-c564-4aeb-ad97-5b5c4f09bfa5.png","Public",{"menuId":77,"menuName":78,"parentId":59,"orderNum":79,"path":80,"component":81,"isFrame":43,"isCache":44,"menuType":45,"visible":30,"status":17,"createDept":6,"remark":46,"createTime":82,"children":83,"columnImage":84,"columnLogo":6,"uncheckedLogo":6,"checkedLogo":6,"isHot":17,"isHome":17,"forceLogin":17,"color":6,"seoTitle":85,"seoKeywords":86,"seoDescription":87,"contentNum":6,"promotionalPoster":6,"menuFrame":7,"innerLink":7,"parentView":7,"routeName":88,"routerPath":80,"componentInfo":81},"2072205637084844033","医路相伴·健康同行-临床诊疗科普项目",7,"publicMJHPCD","/column/public_publicMJHPCD","2026-07-01 14:28:18",[],"https://ystcdn.venuertc.com/venue/undefined/2026-07-01-14:26:26/a2fbad44-1fd8-4b4b-a43a-15440f69c17e.png","医路相伴·健康同行:临床诊疗科普项目","临床诊疗,医路相伴,健康同行,诊疗科普,医学科普","医路相伴·健康同行临床诊疗科普项目,联合临床一线专家,普及常见疾病诊疗知识,帮助患者了解就医流程与治疗方案。","PublicMJHPCD","慢性病","https://vod.haohuanjiao.com/huanjiao/specialistVideo/867717/1b6a4964-f593-4834-b582-3f60ddc8b850.tmp?a=0&auth_key=1791983630-b1fffb7ca29a461597ce0a8d37a4809e-0-fa7268780618bdc9cd537b9b81755e96&br=602&bt=602&cd=0%7C0%7C0&ch=0&cr=0&cs=0&dr=0&ds=3&eid=v0d47cg10004dahrkai7dld94aeapo10&er=0&l=20260914111036C52A30000A2C09618AD3&lr=&mime_type=video_mp4&net=0&pl=0&qs=13&rc=M3JkZDxvOmR1ZDczNGY3M0ApNHNoN2dnbG5rZzMzajpneWcubWIxYWFmaGVhLS1kNGFzcy1sXl42aTReb14xLS5gMS06Yw%3D%3D&vl=&vr=",true,{"code":9,"msg":90,"message":6,"data":6,"success":91},{"code":9,"msg":10,"message":6,"data":94,"success":91},{"pageNo":30,"pageSize":95,"result":96,"totalSize":17},10,[],{"code":9,"msg":10,"message":6,"data":98,"success":91},{"authors":99,"appraiseDimensionScoresVos":100},[],[]]