摘要
目的探讨综合护理干预对原发性高血压患者血管内皮功能的影响。方法将沈阳医学院奉天医院收治100例原发性高血压患者随机分为实验组和对照组,每组各50例。对照组患者给予常规护理,实验组患者在对照组的基础上给予综合护理干预。观察两组护理干预前后的血压、血脂、左心室及血管内皮功能的变化。结果两组患者干预后,实验组患者的收缩压、舒张压、总胆固醇及低密度脂蛋白胆固醇下降明显优于对照组,两组间比较,差异有统计学意义(P<0.05)。而高密度脂蛋白胆固醇、三酰甘油及左心室舒张末内径变化均不明显,两组间比较,差异无统计学意义(P>0.05)。干预后实验组患者的左室重量、左室重量指数、室间隔厚度、左心室后壁厚度及肱动脉内皮依赖性舒张功能变化均明显优于对照组,两组间比较,差异有统计学意义(P<0.05)。结论综合护理干预可提高原发性高血压患者的临床疗效,可使患者的内皮功能明显好转,促进患者的康复,提高患者的生活质量。
Objective To study the Influence Of comprehensive nursing intervention on vascular endothelial function in patients with primary hypertension. Methods 100 cases of primary hypertension patients were randomly divided into experimental group and control group, each group had fifty cases, the control group patients were given routine nursing, the,patients in, the control group were given compreh blood pressure, blood fat, left ventricular and endothelial interveation between the two groups. Results The systolic low density lipoprotein cholesterol in experimental group ensive nursing intervention on the basis of control group. The function changes were observed before and after the nursing blood pressure, diastolic blood pressure, total cholesterol and was down significantly superior to the control group after the intervention between the two groups, the comparison between the two groups, the difference was statistically significant (P〈 0.05). But the change of high density lipoprotein cholesterol, triacylglycerol and left ventricular end-diastolic diameter was not obvious, the comparison between the two groups, the difference was not statistically significant (P 〉 0.05). The change of left ventricular weight, left ventricular weight index and interventricular septum thickness, left Ventricular posterior wall thickness and brachial artery endothelial dependence diastolic function after the intervention were significantly superior to the control group, the Comparison between the two groups, the difference was statistically significant (P 〈 0.05). Conclusion Comprehensive nursing intervention can improve the clinical curative effect of the patients with primary hypertension, it can make the endothelial function improved significantly, and promote the patient's rehabilitation, improve the patient's quality of life.
出处
《中国医药导报》
CAS
2013年第11期126-128,共3页
China Medical Herald
基金
辽宁省沈阳市卫生局科研课题
关键词
原发性高血压
综合护理干预
血管内皮
影响
Primary hypertension
Comprehensive nursing intervention
Vascular endothelial
Influence