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目的探讨服药时间与老年高血压患者血压控制效果的关系。方法选择100例高血压患者,随机分为观察组(50例)和对照组(50例),观察组根据血压昼夜波动规律调节服药时间,对照组为传统服药时间,比较两组患者血压控制效果、再入院率及服药依从率。结果治疗后两组患者白天、夜间及24h血压均优于治疗前;治疗后观察组日间平均动脉压(d DBP)、夜间平均收缩压(n SBP)、夜间平均动脉压(n DBP)及全天平均收缩压(24h SBP)均低于对照组;观察组再入院率与服药依从率分别为2.0%,96.0%均显著优于对照组,差异具有统计学意义(P<0.05)。结论熟练掌握老年高血压患者血压波动节律,保障患者血压平稳,提高降压效果。
Objective To investigate the relationship between medication duration and blood pressure control in elderly hypertensive patients. Methods 100 cases of hypertensive patients were randomly divided into observation group (50 cases) and control group (50 cases). The observation group was adjusted according to the fluctuation of blood pressure day and night, the control group was the traditional medication time, and the blood pressure control effect was compared between the two groups , Readmission rate and medication compliance rate. Results After treatment, the blood pressure of daytime, nighttime and 24h were better than before treatment. After treatment, the daily mean arterial pressure (d DBP), n SBP, n DBP and the mean nocturnal mean arterial pressure The mean systolic blood pressure (24h SBP) in the control group was lower than that in the control group. The readmission rate and medication adherence rate in the observation group were 2.0% and 96.0% respectively, which were significantly better than those in the control group (P <0.05). Conclusion Familiar with the rhythm of blood pressure fluctuations in elderly patients with hypertension to ensure stable blood pressure and improve blood pressure.