摘要
目的探讨腹带干预对老年患者餐后低血压的预防作用.方法选取2020-03至2021-03在解放军总医院第一医学中心心内科收治的住院患者,入院后监测餐前餐后血压,按PPH诊断标准纳入分组,共80例患者入选.按随机数字表法分为对照组和腹带干预组,每组40例,对照组患者予以常规治疗,腹带干预组患者除常规治疗外餐前30 min采用腹带进行干预.比较两组患者餐后收缩压、餐后舒张压、生活质量评分及满意度.结果与对照组比较,腹带干预组患者餐后低血压的发生率(21.94%)明显低于对照组(79.44%),差异有统计学意义(P<0.01);腹带干预组满意度(97.50%)明显高于对照组(87.50%),差异有统计学意义(P<0.05);腹带干预组患者一般健康、社会功能、生理职能、精神健康、躯体疼痛、精力、情感职能均显著高于对照组(P<0.001).结论餐前加压腹带干预可明显降低老年餐后低血压的发生率,提高患者生活质量和满意度.
Objective To investigate the effects of abdominal bandage on the prevention of postprandial hypotension in elderly patients.Methods Inpatients admitted to the Department of Cardiology of the First Medical Center of Chinese PLA General Hospital from March 2020 to March 2021 were continuously selected,and their blood pressures before and after meals were monitored after admission.After finding that they met the PPH diagnostic criteria,they were included in the group,and 80 patients were included.All patients were randomly assigned to control group(40 patients)and abdominal bandage intervention group(40 patients).The patients in control group were treated with routine intervention,while the patients in the abdominal bandage intervention group were treated with abdominal bandage 30 minutes before the meals.The systolic blood pressure,diastolic blood pressure,life quality score and satisfaction of intervention of both groups were recorded.Results The incidence of postprandial hypotension of abdominal bandage intervention group(21.94%)was significantly lower than that of the control group(79.44%),the difference between the two groups was statistically significant(P<0.05).Compared with control group,the total satisfaction of the intervention group(97.50%)was significantly higher(87.50%),the difference between the two groups was statistically significant(P<0.05).The physiological function,physical pain,general health,energy,social function,emotional function and mental health scores of abdominal bandage intervention group were higher than the control group(P<0.001).Conclusions The treatment of pressurized abdominal bandage before meals has certain significant beneficial effects on postprandial hypotension in elderly patients,which can significantly reduce the incidence of postprandial hypotension,and improve the quality of life and satisfaction in elderly patients.
作者
陈洪艳
李海燕
张然
潘谢添
孙志军
CHEN Hongyan;LI Haiyan;ZHANG Ran;PAN Xietian;SUN Zhijun(Department of Cardiology,the First Medical Center of Chinese PLA General Hospital,Beijing 100853,China)
出处
《武警医学》
CAS
2023年第5期377-379,383,共4页
Medical Journal of the Chinese People's Armed Police Force
关键词
餐后低血压
腹带
生活质量
postprandial hypotension
abdominal bandage
quality of life
