摘要
目的:探讨老年高血压病患者发生体位性低血压的原因,提出临床预防和护理对策,减少体位性低血压以及由此引发的并发症的发生。方法:对100例老年高血压病患者,先测卧位上肢血压,然后请患者直立3 min后,测同侧肢体立位血压,记录血压值、患者的主诉,合并基础疾病、联合用药(降压药)等情况,进行分析与研究。结果:老年高血压病患者体位性低血压发生率为26%;年龄>70岁、合并基础疾病、联合用药患者体位性低血压发生率高于年龄<70岁、无合并基础疾病、无联合用药患者(P<0.05)。老年高血压病患者随年龄增长发生生理、病理性改变,合并基础疾病致自主神经功能紊乱,联合用药致血容量变化是老年高血压病患者体位性低血压发生的主要原因。结论:老年高血压病患者易发生体位性低血压,护理的关键是明确病因,采取预防措施,减少体位性低血压及由此引发的并发症的发生。
Objective：To investigate the reasons of elderly hypertensive patients with orthostatic hypotension and to propose clinical prevention and nursing strategies what can reduce the incidence of orthostatic hypotension and caused complications; Methode：100 cases of elderly patients with hypertension, the first measured supine upper extremity blood pressure, then the patient upright three minutes later, measured the ipsilateral limb orthostatic blood pressure, recorded blood pressure values, the patient＇s feeling, the merger underlying diseases, combination therapy （ ant.hypertensive drugs ）, etc. , for analysis and research. Results：The rate of elderly hypertensive patients incidence of orthostafic hypotension was 26%, elderly hypertensive patients whose age elder than 70 years got the merger of the underlying disease and the combination of orthostatic hypotension easier than elderly hypertensive patients whose age younger thkn 70 years old, without merging underlying disease, no combination therapy in patients with orthostatic. （ P 〈 0.05 ）. Eldery hypertensive pa- tients age, physiological and pathological changes in the merger basis of disease caused by the autonomic nervous system dysfunction, combination therapy induced blood volume changes is the main reason of orthostatic hypotension in elderly hypertensive patens. Conclusion ： Elderly hypertensive patients get or- thostatic hypotension easily; the key to care is clearing cause and taking preventive measures to reduce the incidence of orthostatic hypotension.
出处
《护理实践与研究》
2012年第19期54-56,共3页
Nursing Practice and Research
关键词
老年人
高血压
体位性低血压
护理对策
Elder peron
Hypertension
Orthostatic hypotension
Nursing strategy
