179例老年冠心病合并高血压患者动态血压特点及护理体会.doc

179例老年冠心病合并高血压患者动态血压特点及护理体会[摘要] 目的 探讨老年高血压合并冠心病动态血压的特点，并进行护理。方法 对179例老年高血压合并冠心病患者和72例单纯性高血压患者进行24小时动态血压监测，所有患者均进行冠脉造影，分析动态血压参数。结果 高血压合并冠心病组，其24小时动态收缩压，日间动态收缩压，夜间动态收缩压，24小时动态脉压，日间动态脉压，夜间动态脉压都高于单纯高血压组，(t值分别为：2.587、2.046、2.674、2.036、2.0602、1.994；p值分别是：0.014、0.036、0.008、0.040、0.018、0.046)。结论 与单纯性高血压相比，高血压合并冠心病者血压更高，对高血压合并冠心病者，应进行更好的血压控制，以预防高血压危象的发生。 [关键词] 高血压； 冠心病； 动态血压； 护理 [中图分类号] R544.1 [文献标识码] B [文章编号] 1005-0515（2012）-01-022-01 Ambulatory Blood Pressure Characteristics and Nursing of 179 Cases of Coronary Heart Disease Patients with Hypertension Xue Jun (The Department of internal of Medical Center in Dujiangyan，Sichuan，Dujiangyan，611830) [Abstract] Objective Investigate the hypertension,coronary heart disease in elderly ambulatory blood pressure characteristics and for care. Methods 24-hour ambulatory blood pressure monitoring 179 cases of elderly patients with hypertension and coronary heart disease and 72 cases of simple hypertension, Coronary angiography for all patients, analyze their blood pressure parameters. Results Hypertension and coronary heart disease group, Its 24-hour ambulatory systolic blood pressure, daytime systolic blood pressure dynamics, the dynamic systolic blood pressure at night,24-hour ambulatory pulse pressure, daytime ambulatory pulse pressure, pulse pressure is higher than the dynamic night hypertensive group (t values were 2.587,2.046,2.674,2.036,2.0602,1.994,p values were 0.014,0.036,0.008,0.040,0.018,0.046).Conclusion Compared with simple hypertension, patients in hypertension and coronary heart disease have higher blood pressure, for hypertension and coronary heart disease, better blood pressure control should be done to prevent the occurrence of hypertensive crisis. [Key words] Hypertension; Coronary heart disease; Ambulatory blood pressure; Care 高血压，冠心病是心血管系统的两大主要疾病，而高血压又在冠心病发生，发展中起着非常重要的作用，可加速冠心病动脉粥样硬化的过程，其主要危害是通过导致动脉粥样硬化而损失心、脑、肾等靶细胞[1]。单纯性高血压其血压有一定的昼夜规律，有高峰低谷现象，而高血压合并心，脑，肾损害者，其血压的高峰低谷现象消失，无明显的昼夜规律性，本研究通过观察高血