苯磺酸左旋氨氯地平治疗原发性高血压病的护理干预

Nursing Intervention for Treatment of Essential Hypertension with Levamlodipine Besylate Tablets

目的观察苯磺酸左旋氨氯地平治疗原发性高血压的护理干预效果。方法将138例原发性高血压住院患者按随机数字表法分为干预组(n=70)和对照组(n=68),2组均按医嘱服苯磺酸左旋氨氯地平6周,干预组根据患者的生理节律、病理与心理特点,应用时间护理对服药时间进行调整,并采取综合护理干预措施;对照组实施常规护理。观察并比较2组患者血压变化及不良反应发生情况。结果 2组均有很好的降血压效果。干预组总有效率(91.43%)明显高于对照组(85.29%)(P<0.05);治疗后干预组血压明显低于对照组(P<0.01),且降压更平稳;干预组不良反应发生率(8.57%)明显低于对照组(14.71%)(P<0.01)。结论苯磺酸左旋氨氯地平治疗原发性高血压疗效确切、安全、有效,但对高血压患者实施时间护理及综合护理干预,能更有效、平稳地降低患者血压,减少不良反应的发生。

Objective To observe the therapeutic effect of nursing intervention on the treatment of essential hypertension with levamlodipine besylate tablets.Methods A total of 138 inpatients with essential hypertension were randomly divided into observation group（70 patients） and control group（68 patients）.All patients were treated with levamlodipine besylate for six weeks.The control group only received routine care.The observation group received comprehensive nursing intervention.Moreover,the medication time was adjusted according to circadian rhythms,and pathological and psychological characteristics in observation group.The blood pressure and adverse drug reactions were observed in both groups.Results Compared with the control group,nursing intervention induced an obvious and smooth decrease in blood pressure,a significant increase in total effective rate（91.43% vs 85.29%）,and a remarkable decrease in the incidence of adverse reactions（8.57% vs 14.7%）（P0.05 or P0.01）.Conclusion Levamlodipine besylate tablets can safely and effectively treat essential hypertension.Comprehensive nursing intervention combined with medication time administration according to physiological and pathological rhythm may more effectively and smoothly reduce blood pressure,and decrease the incidence of adverse reactions in patients with essential hypertension.