护理干预对高血压病人颈动脉粥样斑块的影响  

Effect of nursing intervention on carotid atheromatous plaque in patients with hypertension and its clinical analysis

作　　者：卢兴美[1] 

机构地区：[1]成都市第三人民医院心内科,四川成都610031

出　　处：《现代医药卫生》2008年第12期1777-1778,共2页Journal of Modern Medicine & Health

摘　　要：目的:探讨护理干预对高血压病人颈动脉粥样硬化斑块的影响。方法:将175例高血压颈动脉粥样斑块患者随机分为干预组(90例)与对照组(85例),干预组按计划进行护理干预及常规健康教育,对照组仅进行常规健康教育。结果:半年及1年后复查颈动脉粥样斑块情况,干预组有70例病人颈动脉斑块由不稳定的软斑和混合斑变成了稳定的斑块,有2例的斑块消失,有3例发生了心脑血管事件,对照组有30例病人斑块由不稳定的斑块变成了稳定的斑块。15例病人又发生了更多的斑块,10例发生了心脑血管事件,两组比较差异有显著性(P<0.05)。结论:护理干预对稳定高血压患者颈动脉粥样斑块,预防心脑血管事件的发生有显著临床意义。Objective ：To investigate the effect of nursing intervention on carotid atheromatous plaque in patients with hypertension. Methods： 175 hypertension patients with carotid atheromatous plaque were randomly divided into two groups,namely intervention group （n=90） and control group （n=85）.The routine healthy education was used in both groups,besides this,the intervention group was added with nursing intervention.Results：The review of carotid atheromatous plaque in both groups was performed after 6 months or one year of treatment.In the intervention group,the unstable soft and admixture plaque changed into stable plaque in 70 cases,the atheromatous plaque disappeared in 2 cases as well as 3 cases developed cardiac-cerebral vessel incident;while the unstable atheromatous plaque changed into stable plaque in 30 cases in the control group, 15 patients developed more plaques as well as 10 patients developed cardiac-cerebral vessel incident, with significant difference between two groups（P〈0.05）.Condusion：Nursing intervention has clinical significance to stabilize the carotid atheromatous plaque in patients with hypertension and prevent cardiac-cerebral vessel incident.

关 键 词：护理干预 高血压 颈动脉斑块 临床分析 

分 类 号：R47[医药卫生—护理学]