神经内科患者直立性低血压发生率调查及护理干预研究  

The study on the incidence of OH and corresponding nursing intervention in the department of neurology

作　　者：徐蕊[1] 钟美娟[1] 刘友兰[1] 谭慧莉[2] 

机构地区：[1]广东医学院附属医院神经内科,湛江524001 [2]中国医科大学附属盛京医院超声科,沈阳110003

出　　处：《现代护理》2008年第1期11-13,共3页Modern Nursing

基　　金：本文为2005年湛江市科技攻关项目课题（湛科[2005]57号）

摘　　要：目的对神经内科住院患者进行直立性低血压发生率调查及研究有效的护理干预措施。方法对600例50岁以上的神经内科住院患者按照Thulesius直立性血压调节障碍诊断法进行直立性血压调节障碍诊断,对符合直立性低血压诊断标准的63例患者进行针对性的护理干预,观察4周。结果神经内科住院患者直立性低血压发生率达10.5%,63例患者接受护理干预4周后,头晕眼花等症状得到改善（P〈0.01）。血压直立位和卧位差值明显缩小,与护理干预前相比有统计学意义（P〈0.01）。结论为减少神经内科疾病患者发生的直立性低血压,护理干预措施是安全、有效的非药物的对症治疗方法,可提高疗效。Objective To study the incidence of Orthostatic hypotension（OH） from the patient of department of neurology,and investigate the effectiveness of nursing intervention on them.Methods The OH patients were recruited by the diagnosis accommodation of disturbance.63 patients of OH were observed which had received nursing intervention treatment for 4 weeks.Results The incidence rate of the OH is 10.5%.The 63 patient of OH who received nursing intervention treatment for 4 weeks,the symptom of eyes blurred were ameliorated（P〈0.01）.The potential difference of blood pressure between orthostatism and clinostatism decreased obviously,the results showed statistical significance（P〈0.01）.Conclusions It suggests that the incidence rate of the OH is 10.5%.The nursing intervention can enhance the efficacy for orthostatic hypotension treatment,and is safe and effective.

关 键 词：神经内科 直立性低血压 发生率 护理干预 

分 类 号：R473[医药卫生—护理学]