高龄高血压患者晨峰时段血压变化的临床观察及护理  

Clinical observation and nursing of changes in blood pressure during morning blood pressure surge in elderly patients with essential hypertension

作　　者：刘玉春[1] 勇琴歌[1] 侯惠如[1] 

机构地区：[1]解放军总医院南楼心一科一病区,北京100853

出　　处：《武警医学》2013年第2期101-103,共3页Medical Journal of the Chinese People's Armed Police Force

基　　金：解放军总医院南楼青年创新基金(No.201103)

摘　　要：目的观察76例患者晨间血压的变化,探讨预防高龄高血压患者晨峰时段血压骤变导致意外的护理措施,以加强预见性护理。方法选择住院治疗行动态血压检查的患者76例,均为男性,60～97岁,平均(80.28±7.23)岁,并以80岁为界,<80岁为低龄组35例,≥80岁为高龄组41例,观察晨间血压变化及进餐、服用降压药后对血压的影响,分析年龄、临床症状与血压变化的关系。结果 76例晨峰时段服药、进餐后血压均呈下降趋势;高龄高血压患者服药、进餐后各时间段收缩压与服药进餐前比较均有明显统计学差异(P<0.01,P<0.05),且临床症状发生率较高。结论高龄高血压患者晨峰时段是病情观察的重点时段,因此,进行晨峰时段防止进餐、服药后血压下降所致意外的健康教育非常必要。Objective To observe changes in blood pressure （BP） during morning rise in elderly patients with essential hy- pertension, so as to take effective measures to prevent some unexpected accidents. Methods We measured the changes in BP during morning blood pressure rise in 76 elderly patients. Results There was a marked drop of BP in 76 elderly patients at 30,60,120 ,and 180 minutes after taking breakfast and medicine （P 〈 0.01, P 〈 0.05 ）, especially in those aged over 80. It showed that more clinical symptoms with meal and medicine - related drop of BP occurred in elderly patients. Conclusions We should take effective measures to prevent some unexpected accidents associated with meal and medicine - related drop of BP in elderly patients. We should pay more attention to giving elderly patients health education.

关 键 词：高血压 高龄患者 晨峰现象 护理 

分 类 号：R544[医药卫生—心血管疾病]