老年高血压患者体位性低血压与体位性高血压的临床研究与护理风险防范
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摘要
目的了解老年高血压患者体位性低血压、体位性高血压的临床特点以及对应护理风险防范措施。方法分析对象选取本院综合内科2017年8月至2018年8月诊疗的90例年龄在65岁以上的高血压患者,对患者进行血压测量并据此将其分为体位性低血压和体位性高血压,对患者临床资料进行回顾性分析,并对其临床特点和护理风险进行归纳。结果相对于年龄在80岁以下患者,年龄超过80岁的患者出现体位性高血压、体位性低血压概率明显更高(P<0.05);体位性高血压、体位性低血压患者出现心脑血管疾病事件概率,组间差异提示无统计学意义(P>0.05)。结论老年高血压患者出现体位性低血压、体位性高血压概率随着年龄增长而对应升高,也是引发各种心脑血管疾病的高危因素,在为此类患者提供护理服务时,需要根据临床实际表现进行适当调整,保障护理质量。
Objective To understand the clinical features of orthostatic hypotension and orthostatic hypertension in elderly hypertensive patients and the corresponding preventive measures for nursing risk. Methods The subjects were 90 hypertensive patients over 65 years old who were diagnosed and treated in the Department of general internal medicine from August 2017 to August 2018. Blood pressure was measured and classified into orthostatic hypotension and orthostatic hypertension. The clinical data of patients were retrospectively analyzed, and their clinical characteristics and nursing risks were summarized. Results Compared with patients aged 80 years and younger, patients over 80 years old had a higher probability of orthostatic hypertension and orthostatic hypotension(P<0.05). The incidence of cardiovascular and cerebrovascular diseases in patients with orthostatic hypertension and hypotension was not statistically significant(P>0.05). Conclusion The incidence of orthostatic hypotension and orthostatic hypertension in elderly hypertensive patients increases with age, which is also a high risk factor for various cardiovascular and cerebrovascular diseases. When providing nursing services for such patients, it is necessary to make appropriate adjustments according to clinical manifestations to ensure the quality of nursing.
Objective To understand the clinical features of orthostatic hypotension and orthostatic hypertension in elderly hypertensive patients and the corresponding preventive measures for nursing risk. Methods The subjects were 90 hypertensive patients over 65 years old who were diagnosed and treated in the Department of general internal medicine from August 2017 to August 2018. Blood pressure was measured and classified into orthostatic hypotension and orthostatic hypertension. The clinical data of patients were retrospectively analyzed, and their clinical characteristics and nursing risks were summarized. Results Compared with patients aged 80 years and younger, patients over 80 years old had a higher probability of orthostatic hypertension and orthostatic hypotension(P<0.05). The incidence of cardiovascular and cerebrovascular diseases in patients with orthostatic hypertension and hypotension was not statistically significant(P>0.05). Conclusion The incidence of orthostatic hypotension and orthostatic hypertension in elderly hypertensive patients increases with age, which is also a high risk factor for various cardiovascular and cerebrovascular diseases. When providing nursing services for such patients, it is necessary to make appropriate adjustments according to clinical manifestations to ensure the quality of nursing.
引文
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[2]李学美,孙慧.老年高血压患者OH与OHT的临床特征及护理风险分析[J].现代医学,2017,54(4):529-532.
[3]刘书贤,王晓丽.老年高血压患者体位性血压变化与左室结构及功能关系的研究[J].医学与哲学(B),2017,38(6):39-41.
[4]祖丽菲娅·木沙,胡尔西旦·那斯尔,艾斯卡尔·沙比提.老年高血压患者变换体位造成血压改变的特点及其并存神经认知障碍的临床分析[J].实用老年医学,2016,31(8):648-650.
[5]高媛媛,李丽华.体位性低血压节律评估在老年高血压患者护理中的应用[J].中国病案,2017,18(6):110-112.
[6]Andrews PJ,Sinclair HL,Rodriguez A,et al.Hypothermia for Intracranial Hypertension after Traumatic Brain Injury[J].New England Journal of Medicine,2016,3(1):68-69.
[7]张静静.护理干预应用于老年高血压患者体位性低血压的情况分析[J].世界最新医学信息文摘,2016,16(11):269.
[8]李静.预防性护理干预对老年高血压患者餐后和体位性低血压的影响[J].临床合理用药杂志,2016,9(35):122-123.
[9]孙义兰,马柳英,黎昀娟,等.老年人高血压脉压增宽、餐后和体位性低血压调查分析及护理干预研究[J].世界最新医学信息文摘,2016,16(35):16-18.
[10]朱文洁,舒锦,金立,等.老年高血压患者体位性低血压与左心室结构和功能关系的临床分析[J].中华老年医学杂志,2017,36(1):41-43.