摘要
目的探讨住院老年病人餐后低血压（PPH）及体位性低血压（OH）的发生率及护理对策。方法应用无创心电监护仪测量78例老年病房住院治疗，病情相对平稳的老年病人进餐前后及早晨起床站立3min后血压。结果78例病人中57例出现PPH，餐后血压平均下降（37±6）mmHg，47例出现OH，站立后血压平均下降（41±5）mmHg，36例同时出现PPH及OH；74％的PPH病人出现症状，最常见为思睡及晕厥。有症状的OH占64％，头晕及跌倒危险最常见。结论PPH及OH在住院老年病人中常见，二者临床症状存在显著不同，危害较大，故对于老年住院病人进行健康教育，及时采取合理护理对策防止餐后血压下降及体位性低血压所致意外具有非常重要的意义。
Objective To explore the prevalence of postprandial hypotensian （PPH） and orthostatic hypotension （OH） in the geriatric inpatients and the nursing measures. Methods Blood pressures were measured before and after meals and after standing for 3 minutes when getting up in the morning among 78 elderly inpatients whose disease conditions were relatively stable using the non-invasion electrocardiogram monitor. Results Among 78 patients, PPH was present in 57 patients with a significant postmeal SBP decrease of （37 ± 6）mmHg. OH was present in 46 patients with a mean SBP decline of （41 ± 5）mmHg. 36 patients had OH and PPH. 74% PPH patients had symptoms, including sleepiness and syncope as the most common symptoms. OH was symptomatic in 64% of patients, with dizziness and risk for falls as the most common symptoms. Conclusions PPH and OH are common in elderly inpatients, and the clinical syndromes of both are obviously different. PPH and OH＇ s harm are large. So it is very important to give health care education and adopt reasonable measures to elderly patients in order to prevent the decrease of blood pressure after meal and unexpected accidents associated with OH.
出处
《中华现代护理杂志》
2009年第10期925-927,共3页
Chinese Journal of Modern Nursing
关键词
餐后低血压
体位性低血压
老年人
护理
Postprandial hypotension
Orthostatic hypotension
The aged
Nursing
