高龄老年高血压患者血压昼夜节律变化及护理对策  

Change of Diurnal Rhythm Of Blood Pressure In Very Elderly Hypertensive Patients and the Related NursingStrategy

作　　者：袁军[1] 卢丽华[1] 沙媛[1] 王海鑫[1] 李敏慧[1] 

机构地区：[1]解放军总医院南楼心内二科,北京100853

出　　处：《医学临床研究》2012年第12期2365-2367,共3页Journal of Clinical Research

基　　金：全军医药卫生科研基金课题

摘　　要：[目的]探讨高龄老年（≥80岁）高血压患者血压昼夜节律变化规律及通过护理干预减少心脑血管事件发生的效果。[方法]214例高血压病患者按年龄分为高龄老年组（≥80岁），老年组（65～79岁），监测24h动态血压（ABPM）并对结果进行对比分析。实施有针对性护理干预。[结果]高龄老年组24h动态血压昼夜节律异常（非杓型和反杓型）发生率明显高于老年组。[结论]高龄老年高血压患者24h动态血压昼夜节律异常，护士应根据其特点做好病情观察，加强健康教育，指导患者合理、规范用药，有效控制血压，减少并发症的发生。[Objective] To explore the rule of diurnal rhythm of blood pressure in very elderly hypertensive pa- tients（aged over 80 years old） and the methods of reducing the incidence of cerebrovascular events through nursing intervention. [.Methods] Totally 215 hypertensive patients were divided into the very elderly group（aged over 80 years old） and the elderly group（65~79 years old） according to age. The 24h-ambulatory blood pressure monitoring（ABPM） was used to analyze the result. [Results] The prevalence of abnormal diurnal rhythm of 24h-ABPM （none-dipper and contra-dippers） in the very elderly group was obviously higher than that in the elderly group. [Conclusion] The diurnal rhythm of 24h-ABPM is abnormal in the very elderly hypertensive patients. Nurses should observe the disease carefully and strengthen healthy education to patients. Reasonable and standard prescription should also be given. The aim is to control blood pressure effectively and reduce the complications.

关 键 词：高血压 护理 血压测定 老年人 

分 类 号：R544.1[医药卫生—心血管疾病]