腹带干预对老年患者餐后低血压的预防作用

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Abstract 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.

Key words： postprandial hypotension abdominal bandage quality of life

Received: 16 January 2022

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	Articles by authors
	CHEN Hongyan
	LI Haiyan
	ZHANG Ran
	PAN Xietian
	SUN Zhijun

Cite this article:

CHEN Hongyan,LI Haiyan,ZHANG Ran等. Prophylactic effects of abdominal bandage intervention on postprandial hypotension in elderly patients[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2023, 34(5): 377-379.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2023/V34/I5/377

[1]	Trahair L G, Horowitz M, Jones K L. Postprandial hypotension: a systematic review[J]. J Am Med Dir Assoc, 2014, 15, 394-409.
[2]	张丽燕,王淑辉,赵明霞,等. 表现为晕厥的餐后低血压临床分析及文献复习[J]. 临床和实验医学杂志,2020,19(14):1563-1567.
[3]	Borg M J, Xie C, Rayner C K, et al. Potential for gut peptide-based therapy in postprandial hypotension [J]. Nutrients, 2021, 13(8): 2826.
[4]	乔东军, 牛红育, 孙倩美, 等. 老年人餐后低血压的研究现状[J]. 中华老年心脑血管病杂志, 2016, 18(9): 987-989.
[5]	Shibao C A, Biaggioni I. Management of orthostatic hypotension, postprandial hypotension, and supine hypertension [J]. Semin Neurol, 2020, 40: 515-522.
[6]	杨秋英. 护理干预对老年高血压患者餐后和体位性低血压的影响研究[J]. 心血管病防治知识,2020,10(34):74-76.
[7]	Jansen R W, Lipsitz L A. Postprandial hypotension: epidemiology, pathophysiology, and clinical management [J]. Ann Intern Med 1995, 122: 286-295.
[8]	Awosika A, Adabanya U, Millis R M, et al. Postprandial hypotension: an underreported silent killer in the aged [J]. Cureus 2023, 15, e35411.
[9]	卢水焕,黄心元,刘学员,等. 老年餐后低血压对预后影响的前瞻性队列研究[J]. 中国老年学杂志,2021,41(16):3393-3396.
[10]	Luciano G L, Brennan M J, Rothberg M B. Postprandial hypotension [J]. Am J Med 2010, 123, 281: e281-286.
[11]	Shannon J R, Jordan J, Diedrich A,et al. Sympathetically mediated hypertension in autonomic failure [J]. Circulation, 2000, 101: 2710-2715.
[12]	Fukushima T, Asahina M, Fujinuma Y, et al. Role of intestinal peptides and the autonomic nervous system in postprandial hypotension in patients with multiple system atrophy [J]. J Neurol, 2013, 260: 475-483.
[13]	刘成杰, 熬颖, 刘佳明, 等. 弹力腹带持续腹部加压式心肺复苏时颈总动脉血流变化的研究[J]. 岭南急诊医学杂志, 2011, 16(4): 254-255.
[14]	Smit A A, Wieling W, Fujimura J, et al. Use of lower abdominal compression to combat orthostatic hypotension in patients with autonomic dysfunction [J]. Clin Auton Res, 2004, 14: 167-175.
[15]	张玉玲,丁健,宋成伟,等. 高龄高血压患者餐后低血压的临床研究[J]. 中国保健营养,2020,30(1):21-22.