中老年高血压患者昼夜血压变化分析及护理

Circadian Change of Blood Pressure in Middle-and Old-aged Hypertensive Patients:Analysis and Nursing Care

目的 探讨高血压患者的血压变化与靶器官 (心、脑、肾等 )损害的的相关性。方法 对 117例中老年高血压患者 2 4h血压变化进行监测分析。结果 各年龄组患者的昼夜间血压变化以收缩压 (SBP)升高明显 ,而舒张压 (DBP)升高不明显 ,脉压差增大 ,夜间血压下降率 (BPF) <10 %者 ,老年组比例较高 ;血压昼夜节律倒置 ,≥ 80岁组比例最高。结论 有效地控制血压 ,是减少靶器官损害 ,降低心。

In recent years, prevalence rate of hypertension is continuously rising. Variability of blood pressure has some relation to impairment of the target organs (brain, heart, kidney, etc) and has distinct significance in predicting heart and brain events.Methods We investigated the ABPM(arteria blood pressure monitoring) of 117 middle and old aged patients with hypertension.Results Circadian SBP,not DBP,increased most markedly with age increasing.Pulse pressure difference also increased. There was a higher ratio of nocturnal BPF decrease (<10%) in the old aged group. The ratio of blood pressure inroad rhythm reversion was highest in the ≥80 year age group.Conclusion It is important to control blood pressure, reduce risks of impairment to the target organs and reduce incidence of heart and brain events. At the same time, nursing care should be intensified to reduce complications and strengthen patient education so that patients know the importance of measuring BP and the significance of preventing, diagnosing and caring high blood pressure in residential settings.