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| Clinical observation and nursing of changes in blood pressure during morning blood pressure surge in elderly patients with essential hypertension |
| LIU Yuchun,YONG Qinge,HOU Huiru |
| Department of Geriatric Cardiology, General Hospital of PLA, Beijing 100853,China |
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Abstract Objective To observe changes in blood pressure (BP) during morning rise in elderly patients with essential hypertension, so as to take effective measures to prevent some unexpected accidents. Methods We measured the changes in BP during morning blood pressure rise in 76 elderly patients. Results There was a marked drop of BP in 76 elderly patients at 30,60,120,and 180 minutes after taking breakfast and medicine (P＜0.01，P＜0.05), especially in those aged over 80. It showed that more clinical symptoms with meal and medicine -related drop of BP occurred in elderly patients. Conclusions We should take effective measures to prevent some unexpected accidents associated with meal and medicine -related drop of BP in elderly patients. We should pay more attention to giving elderly patients health education.
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Received: 25 October 2012
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李富利.老年原发性高血压患者血压晨峰与左心室肥厚的关系［J］.中华老年心脑血管病杂志，2011，13（6）：488-490.［2］ 柳犁犁.有晨峰现象及杓型曲线的高血压患者的护理［J］.温州医学院学报，2011，41（4）：396-397.［3］ 官玉红.老年人餐后低血压的研究现状［J］.中国老年学杂志，2003，23（1）：655-657.［4］ Aronow W S . Association of postprandial hypotension with incidence of falls, syncope, coronary events, stroke, and total mortality at 29-month follow-up in 499 older nursing home residents［J］ .J AM Geriatr Soc, 1997, 45(9): 1051.［5］ Matsui Y. Morning hypertension is the strong predictor of left ventricular remodeling in never-medicated hypertensives［J］.Circulation,2009，120:1016-1017.［6］ Kario K. Morning surge in blood pressure and cardiovascular risk: evidence and perspectives［J］. Hypertension ,2010，56:765-773.(2012-10-25
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| ［1］ |
李富利.老年原发性高血压患者血压晨峰与左心室肥厚的关系［J］.中华老年心脑血管病杂志，2011，13（6）：488-490.［2］ 柳犁犁.有晨峰现象及杓型曲线的高血压患者的护理［J］.温州医学院学报，2011，41（4）：396-397.［3］ 官玉红.老年人餐后低血压的研究现状［J］.中国老年学杂志，2003，23（1）：655-657.［4］ Aronow W S . Association of postprandial hypotension with incidence of falls, syncope, coronary events, stroke, and total mortality at 29-month follow-up in 499 older nursing home residents［J］ .J AM Geriatr Soc, 1997, 45(9): 1051.［5］ Matsui Y. Morning hypertension is the strong predictor of left ventricular remodeling in never-medicated hypertensives［J］.Circulation,2009，120:1016-1017.［6］ Kario K. Morning surge in blood pressure and cardiovascular risk: evidence and perspectives［J］. Hypertension ,2010，56:765-773.(2012-10-25
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2013, Vol. 24 
