CAJ | 학술논문

目的探讨老年高血压患者体位性低血压(OH)与体位性高血压(OHT)的临床特征与护理风险防范要点.方法通过对2010年1月至2011年6月住院的489例老年高血压患者测量卧位与立位3 min血压和心率,并分为OH组、OHT组和非OH、OHT组进行比较.结果 60～79岁老年高血压组OH和OHT发生率显著低于≥80岁的高血压患者.非OH、OHT组冠心病、血糖异常、血脂异常、脑卒中的发生率显著低于OH组和OHT组.结论 OH与OHT在老年高血压患者中较常见,OH与OHT老年高血压患者心脑血管疾病、糖尿病发生率较高,对该类患者应做好护理风险防范的健康教育,防止因OH、OHT引起护理风险事故的发生.
목적 탐토노년고혈압환자체위성저혈압(OH)여체위성고혈압(OHT)적림상특정여호리풍험방범요점.방법 통과대2010년1월지2011년6월주원적489례노년고혈압환자측량와위여립위3 min혈압화심솔,병분위OH조、OHT조화비OH、OHT조진행비교.결과 60～79세노년고혈압조OH화OHT발생솔현저저우≥80세적고혈압환자.비OH、OHT조관심병、혈당이상、혈지이상、뇌졸중적발생솔현저저우OH조화OHT조.결론 OH여OHT재노년고혈압환자중교상견,OH여OHT노년고혈압환자심뇌혈관질병、당뇨병발생솔교고,대해류환자응주호호리풍험방범적건강교육,방지인OH、OHT인기호리풍험사고적발생.
Objective To determine the prevalence and clinical characteristics of orthostatic hypotension (OH) and orthostatic hypertension (OHT) in the elderly patients with hypertension.Methods 489 elderly patients with hypertension were enrolled and divided into the OH group,the OHT group and the non-OH-OHT group,which represents no or symptom.The orthostatic blood pressure was measured in supine position after resting for more than 5 minutes and at 3 min standing.Results The prevalence of OH in the 60～79 years old group was lower than that in ≥ 80 years old group.The morbility of coronary heart disease,diabetes and ischemic stroke was significantly higher in the OH and OHT group than that in the non-OH-OHT group.Conclusions OH and OHT are common disease in the elderly patients with hypertension and associated with increased risk of cardiovascular disease and diabetes mellitus.To strengthen nursing and health education for elderly patients with hypertension could prevent the incidence of malignant cardiovascular events due to OH and OHT.