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目的:研究老年高血压患者用高血压慢病管理模式对其血压波动的影响。方法:以2014年7月至2016年10月本院接诊的112例高血压病患为研究对象,根据电脑随机双盲法将之分成试验和对照两组,每组56例。试验组应用高血压慢病管理模式,对照组应用常规管理模式。观察两组血压波动的情况,并对其白昼和夜间的血压波动值等指标进行分析和比较。结果:试验组白昼时的收缩压与舒张压波动值分别是(9.08±2.34)mm Hg、(11.63±3.58)mm Hg,明显比对照组的(34.26±3.85)mm Hg、(20.46±2.59)mm Hg低,组间差异显著(P<0.05)。试验组夜间时的血压波动值明显比对照组低,组间差异显著(P<0.05)。试验组对血压控制效果的满意程度为86.43%,明显比对照组的83.93%高,组间差异显著(P<0.05)。结论:积极对老年高血压病患施以高血压慢病管理,能显著提高其血压控制的效果,值得临床借鉴。
Objective: To study the effect of hypertensive chronic disease management on the fluctuation of blood pressure in elderly hypertensive patients. Methods: From July 2014 to October 2016, 112 cases of hypertension admitted to our hospital were studied. According to randomized double-blind method, they were divided into two groups, 56 cases in each group. The experimental group applied the mode of chronic obstructive disease management and the control group used conventional management mode. Blood pressure fluctuations in both groups were observed and their daytime and nighttime blood pressure fluctuations and other indicators were analyzed and compared. Results: The daytime systolic and diastolic blood pressure fluctuations of the experimental group were (9.08 ± 2.34) mm Hg and (11.63 ± 3.58) mm Hg respectively, significantly higher than those of the control group (34.26 ± 3.85 mm Hg, 20.46 ± 2.59) mmHg low, significant difference between groups (P <0.05). The blood pressure fluctuation of the experimental group at night was significantly lower than that of the control group, with significant difference between the two groups (P <0.05). The satisfaction degree of the experimental group to the blood pressure control effect was 86.43%, which was significantly higher than that of the control group (83.93%). There was significant difference between the two groups (P <0.05). CONCLUSION: It is an effective way to administer hypertensive chronic disease in elderly hypertensive patients, which can significantly improve the blood pressure control effect and is worthy of clinical reference.