老年高血压危象急诊抢救及其改进措施研究.docVIP

老年高血压危象急诊抢救及其改进措施研究 　　广东省肇庆市第二人民医院，广东肇庆 526020 　　[摘要] 目的 探讨老年高血压危象的急救抢救方法与改进措施。 方法 选取2006年1月～2012年2月肇庆市第二人民医院急诊科抢救治疗的老年高血压危象患者130例为研究对象，对其临床资料进行回顾分析。其中2006年1月～2009年11月入院的患者65例为对照组，行常规未改进的急诊抢救；2009年12月～2012年2月入院的患者65例为观察组，行快速平稳降压、吸氧治疗、预防惊厥、防治脑水肿等改进抢救措施。统计改进前后急诊抢救的总有效率，比较改进后患者经抢救治疗前后的心率、血压、血钾、血糖、尿素氮、白细胞计数、谷丙转氨酶含量水平的差异。 结果 ①观察组治疗总有效率为89.23%（58/65），对照组治疗总有效率为73.85%（48/65），差异有统计学意义（P 0.05）。③观察组患者急诊抢救后血钾、血糖、尿素氮、白细胞计数、谷丙转氨??含量水平与治疗前比较，差异无统计学意义（P 0.05）。 结论 老年高血压危象患者的急诊抢救应以快速平稳降压为原则，同时依据患者靶器官的损伤程度制定个体化的针对治疗，并积极给予吸氧治疗等改进措施，能显著提高治疗有效率，保障患者生命安全。 　　[关键词] 老年高血压危象；急诊抢救；改进措施 　　[中图分类号] R544.1 [文献标识码] A [文章编号] 1673-7210（2014）03（a）-0041-04 　　Research of emergency treatment and improvement for elderly patients with hypertensive crisis 　　HUANG Yongmou 　　The Second Peoples Hospital of Zhaoqing City， Guangdong Province， Zhaoqing 526020， China 　　[Abstract] Objective To analyze the crisis first aid treatment and improvement of elderly patients with hypertensive crisis. Methods 130 elderly patients with hypertensive crisis treated in the Second Peoples Hospital of Zhaoqing City from January 2006 to February 2012 were retrospectively analyzed in this study. 65 patients from January 2006 to November 2009 were chosen as control group， they were treated with conventional emergency rescue； 65 patients from December 2009 to February 2012 were selected as observation group， they were treated with rapid and smooth drop in blood pressure after admission； oxygen therapy was given before the emergency treatment； convulsions and brain edema were prevented. The total efficiency of the emergency rescue was analyzed before and after improving. The difference in levels of heart rate， blood pressure， serum potassium， glucose， urea nitrogen， white blood cell count and alanine aminotransferase were compared before and after improved emergency treatment. Results ①The total effective rate in observation group was 89.23 % （58/65）， the total effective rate in control group group was 73.85 % （48/65）， the