帕金森病患者体位性低血压及餐后低血压的危险因素分析

Risk Factors of Orthostatic Hypotension and Postprandial Hypotension in Patients with Parkinson's Disease

目的:对帕金森病患者体位性低血压及餐后低血压的危险因素进行分析。方法:选取我院收治的帕金森患者40例为实验组,同时选取健康人群作为对照组,对其进行SCOPA-AUT评分和早晨用餐前后不同体位血压情况。结果:实验组SCOPA-AUT评分总分高于对照组,P<0.05;实验组早晨用餐后取直立位血压情况与对照组降低,P<0.05。结论:帕金森患者的体位性低血压和餐后低血压发生率较高,抗帕金森大剂量药物是帕金森患者体位性低血压发生重要原因;且患者病程时间长、体位性低血压、瞳孔神经功能损伤是导致餐后低血压的主要原因。

Objective： To analyze the risk factors of orthostatic hypotension and postprandial hypotension in patients with Parkinson＇s disease. Methods： 40 patients with Parkinson＇s disease in our hospital were selected as the experimental group, and the healthy population was selected as the control group. The SCOPA-AUT score and the blood pressure in different postures before and after the morning meal were compared. Results： The total score of SCOPA-AUT in the experimental group was higher than that in the control group, P〈0.05; after the morning meal, the orthostatic blood pressure of the experimental group was lower than that of the control group, P〈0.05. Conclusion： Parkinson patients with orthostatic hypotension and cries the incidence of hypotension is high, anti Parkinson large doses of the drug is an important reason for Parkinson in patients with orthostatic hypotension occurred; and patients with long duration of time, postural hypotension, pupillary nerve injury is a major cause of low blood pressure after a meal.