时间给药法及护理干预对难治性高血压患者治疗效果的影响  

作　　者：罗娟英[1] 汪小蓉[1] 

机构地区：[1]汕头市中心医院内七科,广东汕头515031

出　　处：《现代临床护理》2010年第8期28-29,共2页Modern Clinical Nursing

摘　　要：目的探讨时间给药法及护理干预对控制难治性高血压患者血压水平的效果。方法将64例难治性高血压患者随机分为时间治疗护理组32例(设为实验组)和对照组32例。实验组根据患者的生理及病理时间规律特点调整服药时间及护理干预,对照组按传统时间给药及常规护理。比较在干预前、干预后4w及出院后随访1年时两组患者血压情况及脑血管意外事件的发生情况。结果干预后4w和出院后1年时,实验组患者血压情况明显低于对照组(P<0.05),患者脑血管意外事件发生率(0.9%)明显低于对照组(40.6%),两组比较,均P<0.01,差异具有统计学意义。结论掌握人体生理病理的时间节律特点,对难治性高血压患者实施时间给药法及护理干预,能明显提高患者疗效及减少脑血管意外事件的发生率。Objective To explore the effects of flexible medication on refractory hypertension.Methods 64 patients with refractory hypertension were randomly divided into the flexible medication group and the control group in equal number.In the former group the drugs were administered and nursing intervention was done according to patients＇ physiological and pathological conditions and in the control group,the drugs were administered and nursing care was done routinely.The therapeutic effects of two groups were compared.Results In the flexible medication group,blood pressure was significantly lower than that of the control group（P 〈0.05）.The incidences of cerebrovascular accidents were 0.9% and 40.6% for the flexible medication group and the control one,with significant difference between them（P 〈0.01）.Conclusion According to physiological and pathological temporal rhythm of individuals,flexible drug administrations and nursing intervention can reduce cerebrovascular accidents obviously.

关 键 词：难治性高血压 时间治疗法 药物治疗 护理 

分 类 号：R544.1[医药卫生—心血管疾病] R473.5[医药卫生—内科学]