研究老年高血压危象的急诊抢救及其改进措施

Study on emergency rescue of aged patients with hypertension crisis and its improvement measures

目的探讨老年高血压危象的急诊抢救方法及改进优化措施。方法选取急诊科接诊收治的68例老年高血压危象患者,按照急诊科急诊顺序将所有患者随机分组,每组34例,对照组采取常规急诊抢救方法,观察组则采取改进后的急诊抢救方法,观察指标包括:治疗前后心率(HR)、空腹血糖(FPG)、收缩压(SBP)与舒张压(SDP)检测值,治疗总有效率及临床检查指标变化情况。结果两组抢救治疗前HP、FPG、SBP、SDP各项指标与凝血指标对比差异不明显,观察组对急诊抢救方法改进后,各项指标均明显优于对照组(P<0.05)。观察组治疗总有效率为97.06%,明显高于对照组的85.29%,差异存在显著统计学意义(X^2=7.596,P<0.05)。两组治疗前后血常规、尿常规等临床检查项目均无明显变化,未出现严重不良反应。结论在老年高血压危象患者急诊抢救时应当注意平稳快速降压的原则,依据患者病情开展个体化治疗与积极对症治疗,改进急诊抢救方法能够获得显著效果,保证患者生命安全。

Objective To discuss emergency rescue methods and improvement measures for hypertension in the elderly. Methods A total of 68 elderly hypertensive crisis patients admitted to the emergency department were selected. All patients were randomly divided into emergency groups according to the emergency department order. Each group consisted of 34 patients. The control group took conventional emergency treatment and the observation group took emergency rescue treatment. Observed indicators include： heart rate（HR）, fasting plasma glucose（FPG）, systolic blood pressure（SBP）, and diastolic blood pressure（SDP） test values before and after treatment, total treatment effectiveness, and clinical examination index changes. Results There were no significant differences in the indexes of blood coagulation between HP, FPG, SBP and SDP before salvage treatment in the two groups. After the improvement of emergency treatment in the observation group, each index was significantly better than the control group（P〈0.05）. The total effective rate in the observation group was 97.06%, which was significantly higher than the 85.29% in the control group.The difference was statistically significant（χ^2=7.596, P〈0.05）. There were no significant changes in the clinical examination items such as blood routine and urine routine before and after treatment in both groups, and no serious adverse reactions occurred. Conclusion The principle of stable and rapid hypotensive should be paid attention to in the emergency treatment of elderly hypertensive crisis patients. Based on the patient＇s condition,individualized treatment and active symptomatic treatment should be carried out. Improvement of emergency treatment methods can achieve significant results and ensure the safety of patients.