高血压鼻出血24h动态血压特征及血压控制和护理研究  

Study on 24-hour ambulatory blood pressure features and blood pressure control of hypertensive epistaxis and its nursing

作　　者：林曼舒[1] 王欣[1] 刘小婵[1] 杨银深[1] 梁金霞[1] 麻桂花 黎春菊 LIN Manshu;WANG Xin;LIU Xiaochan;YANG Yinshen;LIANG Jinxia;MA Guihua;LI Chunju(Second Department of Orthopaedics,Zhongshan People’s Hospital,Guangdong,Zhongshan 528403,China)

机构地区：[1]广东省中山市人民医院骨二科,广东中山528403

出　　处：《中国医药科学》2020年第6期130-132,142,共4页China Medicine And Pharmacy

基　　金：广东省中山市医学科研项目(2018A020189)。

摘　　要：目的 探讨高血压鼻出血24h动态血压特征及血压控制和护理.方法 选取我院2018年6月~2019年3月高血压鼻出血患者100例为观察对象,监测患者血压并实施护理,观察患者24h平均动脉压(mABP)、24h收缩压(24h SBP)、24h舒张压(24h DBP)、白天平均收缩压(dSBP)、白天平均舒张压(dDBP)、夜间平均收缩压(nSBP)、夜间平均舒张压(nDBP)、临床转归、住院时间.采用Logistic回归分析高血压鼻出血的影响因素.结果 高血压鼻出血患者24h SBP、dSBP、nSBP及24h DBP、dDBP、nDBP比较差异无统计学意义(P>0.05).经护理后,所有患者止血成功,未发生因鼻出血死亡情况,住院时间(4.86±1.02)d;夜间血压升高、高胆固醇、高血压病程、高血压Ⅱ~Ⅲ级是高血压鼻出血的独立危险因素(P<0.05).结论 高血压鼻出血患者的血压昼夜节律不明显,加强护理有助于患者康复,夜间血压升高、高血压病程、高血压Ⅱ~Ⅲ级是高血压鼻出血密的危险因素,应加强对该类患者的观察及护理,预防多次出血.Objective To explore 24-hour ambulatory blood pressure features and blood pressure control of hypertensive epistaxis and its nursing.Methods 100 patients with hypertensive epistaxis treated in our hospital from June 2018 to March 2019 were selected as observation subjects.The patients were monitored for blood pressure and received nursing care.The 24-hour mean arterial blood pressure(mABP),24-hour systolic blood pressure(24h SBP),24-hour diastolic blood pressure(24h DBP),mean daytime systolic blood pressure(dSBP),mean daytime diastolic blood pressure(dDBP),mean nighttime systolic blood pressure(nSBP),mean nighttime diastolic blood pressure(nDBP),clinical outcome and hospitalization time were observed.Logistic regression was used to analyze the influencing factors of hypertensive epistaxis.Results Before nursing,there were no significant differences in 24h SBP,dSBP,nSBP,24h DBP,dDBP and nDBP of patients with hypertensive epistaxis(P>0.05).After nursing,all patients successfully stopped bleeding,no death occurred due to epistaxis,and the hospitalization time was(4.86±1.02)d.Nighttime blood pressure elevation,high cholesterol,course of hypertension and hypertension gradesⅡ-Ⅲwere independent risk factors for hypertensive epistaxis(P<0.05).Conclusion The circadian rhythm of blood pressure in patients with hypertensive epistaxis is not obvious,so strengthening care will help patients recover.Nighttime blood pressure elevation,course of hypertension and hypertension gradesⅡ-Ⅲare risk factors for hypertensive epistaxis.The observation and nursing of such patients should be strengthened to prevent multiple bleeding.

关 键 词：高血压鼻出血 24H动态血压 血压控制 护理 

分 类 号：R473.76[医药卫生—护理学]