综合干预对老年高血压患者降压效果的研究

摘要

Objective To study antihypertensive effect of comprehensive intervention in elderly patients with hypertension.Methods A total of 80 patients in our hospital were randomly divided into intervention group (n =41) and control group (n =39).The control group received antihypertensive drug treatment and basic nursing including blood pressure monitoring,prevention of complications and so on.Base on the control group,the intervention group was given exercise intervention,dietary intervention and health education,etc.according the patient's situation.Antihypertensive effect,blood pressure changes,the incidence of stroke events and adverse reactions before and after intervention were observed.Results Both the systolic blood pressure and diastolic blood pressure were decreased after intervention in the two groups.The difference in systolic blood pressure and diastolic blood pressure of two groups was statistically significant (P ＜ 0.05).The response rate of intervention group was 90.24％,which was significantly higher than 66.67％ of the control group (P ＜ 0.05).The incidence of stroke in the intervention group was 4.88％,which was lower than 20.51％ in the control group (P ＜ 0.05).Conclusion The comprehensive intervention could effectively improve the clinical effect,control the blood pressure level,improve the quality of life and reduce the incidence of adverse events in elderly patients with hypertension.So it is worth to be popularized.%目的 探讨综合干预对老年高血压患者的降压效果.方法 选择本院收治的80例患者随机分为干预组(n=41)和对照组(n=39).对照组患者给予常规降压药物治疗及血压监测、并发症预防等基础护理,干预组在此基础上根据患者综合情况给予运动干预、饮食干预及健康教育等措施.比较2组患者干预后降压效果、干预前后血压变化情况、脑卒中事件发生情况及不良反应发生情况.结果 干预后,2组患者的收缩压和舒张压均有所降低,2组收缩压和舒张压比较,差异均有统计学意义(P＜0.05).干预组患者降压有效率为90.24％,明显高于对照组的66.67％ (P ＜0.05);干预组脑卒中发生率为4.88％,低于对照组的20.51％ (P ＜0.05).结论 给予老年高血压患者综合干预,可以有效提高临床治疗效果,控制患者血压水平,降低脑卒中等不良事件的发生率,提高患者生存质量,值得推广应用.