老年高血压患者无创中心动脉压与肱动脉压的比较及护理  

Comparison of noninvasive central arterial pressure and brachial arterialpressure in elderly hypertensive patients and its nursing measures

作　　者：张英[1] 吴金凤[1] 高春红[1] 

机构地区：[1]南京医科大学第一附属医院老年医学科,江苏南京210029

出　　处：《实用临床医药杂志》2015年第8期1-4,共4页Journal of Clinical Medicine in Practice

基　　金：国家临床重点专科建设补助资金(财政部卫生部文件财社[2010]305号)

摘　　要：目的比较老年高血压患者无创中心动脉压与肱动脉血压的差异,探讨有效控制患者血压的护理方法。方法通过欧姆龙HEM9000AI系统对老年科住院的老年高血压患者692例进行无创中心动脉收缩压(c SBP)和肱动脉收缩压(SBP)的测量,比较患者的c SBP与SBP,根据比较结果,对患者在病情观察、药物应用、健康教育等方面给以针对性的护理干预。结果总体老年高血压患者的c SBP与其SBP比较无明显差异(P>0.05),但≥80岁的高血压患者的c SBP高于其SBP(P<0.05),老年女性高血压患者的c SBP也高于其SBP(P<0.05)。差异分析发现,53.6%患者的c SBP比SBP高,39.9%患者的c SBP比SBP低,只有6.5%老年患者的c SBP与SBP相等。通过针对性的治疗和护理干预,患者的中心动脉压能得到有效控制。结论给予个体化的治疗和护理干预,能有效控制老年高血压患者的血压,可以达到预防和控制老年高血压患者心脑血管疾病的发生和发展的目的。Objective To compare the differences of non- invasive central arterial pressure and brachial arterial pressure in elderly hypertensive patients and to explore effective nursing methods. Methods Noninvasive central arterial systolic blood pressure（ c SBP） and brachial arterial systolic blood pressure（ SBP） of 692 elderly hypertensive patients in the hospital were measured by Omron HEM9000 AI system and c SBP and SBP were compared. According to the results,patients were given corresponding nursing intervention in disease observation,drug application and health education. Results Overall c SBP and SBP in elderly hypertensive patients showed no significant difference（ P〉0. 05）,but c SBP level was higher than SBP in more than 80- year- old hypertensive patients（ P〈0. 05）. The c SBP level was higher than their SBP in female elderly hypertensive patients（ P〈0. 05）,Differences showed that c SBP was higher than their SBP in 53. 6% patients,c SBP was lower than their SBP in 39. 9% patients and c SBP equaled their SBP in 6. 5% patients. After targeted treatment and nursing intervention,the patient＇s central arterial blood pressure was effectively controlled.Conclusion Individualized treatment and nursing interventions can effectively control blood pressure in elderly hypertensive patients and can prevent and control the occurrence and development of cardiovascular disease and cerebrovascular disease in elderly hypertensive patients.

关 键 词：老年人 高血压 中心动脉压 肱动脉压 护理 

分 类 号：R473.5[医药卫生—护理学]